| Atlanta Eye Group - Town Center | |
|
400 Ernest W Barrett Pkwy Nw Ste 617, Kennesaw, GA 30144-4997 | |
| (770) 727-0772 | |
| (770) 766-1117 |
| Full Name | Atlanta Eye Group - Town Center |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 400 Ernest W Barrett Pkwy Nw Ste 617, Kennesaw, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669929634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Cynthia A Cieszko |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902895980 PECOS PAC ID: 7012924202 Enrollment ID: I20060313000643 |
| Provider Name | Ambareen Mohamed |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861593519 PECOS PAC ID: 5890934145 Enrollment ID: I20130617000386 |
| Provider Name | Seana Corbett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629476643 PECOS PAC ID: 0244558849 Enrollment ID: I20150410001495 |
| Provider Name | Elise Marie Bugenske |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952796567 PECOS PAC ID: 5698085835 Enrollment ID: I20151030001196 |
| Provider Name | Reema Gosalia |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013331750 PECOS PAC ID: 6305079658 Enrollment ID: I20180811000179 |
| Provider Name | Shundale Thomas Mixon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013403088 PECOS PAC ID: 9537402367 Enrollment ID: I20190520001460 |
| Provider Name | Yelena Sirota |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235788183 PECOS PAC ID: 4385077304 Enrollment ID: I20191205001898 |
| Provider Name | Sterlin Blakley Jones |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770136558 PECOS PAC ID: 9335566934 Enrollment ID: I20200827002176 |
| Provider Name | Lianne Ashley Chuck |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225518236 PECOS PAC ID: 5799199758 Enrollment ID: I20210202003171 |
| Provider Name | Anisha Haji |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366832388 PECOS PAC ID: 2365867637 Enrollment ID: I20210203001524 |
| Provider Name | Anita Pandya |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871117879 PECOS PAC ID: 5597172379 Enrollment ID: I20210323000488 |
| Provider Name | Jake Donald Pucci |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558927160 PECOS PAC ID: 9537577655 Enrollment ID: I20210409000110 |
| Provider Name | Neda Norouzi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679142244 PECOS PAC ID: 1658761622 Enrollment ID: I20211206001936 |
| Provider Name | Alexandria Marsh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902473879 PECOS PAC ID: 3173913852 Enrollment ID: I20211213001256 |
| Provider Name | Katie Harris |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356076947 PECOS PAC ID: 2668857616 Enrollment ID: I20220912003853 |
| Provider Name | Soo Jung Lee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083348338 PECOS PAC ID: 5698151470 Enrollment ID: I20220930002743 |
| Provider Name | Javeya Clark |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891345575 PECOS PAC ID: 0941674600 Enrollment ID: I20230320001378 |
| Provider Name | Biraju Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912139551 PECOS PAC ID: 9436467768 Enrollment ID: I20230323003315 |
| Provider Name | Tyler Ray Bellack |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750074621 PECOS PAC ID: 2163860719 Enrollment ID: I20240402003532 |
| Mailing Address | Practice Location Address |
|---|---|
| Atlanta Eye Group - Town Center 200 Ashford Ctr N Ste 305, Atlanta, GA 30338-2682 Ph: (770) 727-0772 | Atlanta Eye Group - Town Center 400 Ernest W Barrett Pkwy Nw Ste 617, Kennesaw, GA 30144-4997 Ph: (770) 727-0772 |
Dennis G Bergin, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 400 Barrett Pkwy Ste 500, Sears Optical-town Center Mall, Kennesaw, GA 30144 Phone: 770-424-5367 Fax: 678-337-7933 | |
Ryan Chihien Tieu, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1415 Wooten Lake Rd Nw, Kennesaw, GA 30144 Phone: 770-792-3937 Fax: 770-847-2727 | |
Tasman Eye Consultants Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1415 Wooten Lake Rd Nw, Suite 100, Kennesaw, GA 30144 Phone: 770-792-3937 Fax: 770-427-9826 | |
Dr. William Wha Wang, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3105 Cobb Pkwy Nw, Kennesaw, GA 30152 Phone: 770-974-8646 Fax: 770-974-5188 | |
Frederick C. Shaw & Associates Optometrist Medicare: Medicare Enrolled Practice Location: 645 Ernest W Barrett Pkwy Nw, Kennesaw, GA 30144 Phone: 770-420-2268 Fax: 770-825-9200 | |
Hester Eye Associates, Pc Optometrist Medicare: Medicare Enrolled Practice Location: 3745 Cherokee St Nw, Ste 404, Kennesaw, GA 30144 Phone: 770-590-8191 Fax: 770-590-8192 | |
Dr. Ekta Gaurang Patel, O.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 400 Barrett Pkwy, 297, Kennesaw, GA 30144 Phone: 770-421-1734 Fax: 770-421-0319 |