Bolt Eye Group - Riverdale, Llc | |
131 Upper Riverdale Rd Sw, Riverdale, GA 30274-2540 | |
(770) 994-9913 | |
Not Available |
Full Name | Bolt Eye Group - Riverdale, Llc |
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Type | Facility |
Speciality | Optometrist |
Location | 131 Upper Riverdale Rd Sw, Riverdale, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1588378632 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Duy Hoang Nguyen |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1801562715 PECOS PAC ID: 3779972617 Enrollment ID: I20220119001472 |
Mailing Address | Practice Location Address |
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Bolt Eye Group - Riverdale, Llc 4180 Old Milton Pkwy Ste 1d, Alpharetta, GA 30005-2408 Ph: (770) 776-9000 | Bolt Eye Group - Riverdale, Llc 131 Upper Riverdale Rd Sw, Riverdale, GA 30274-2540 Ph: (770) 994-9913 |
Niketha Ajodha, Optometrist Medicare: Medicare Enrolled Practice Location: 7050 Highway 85, Riverdale, GA 30274 Phone: 770-994-1670 | |
Came Home Seeing Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7050 Highway 85, Riverdale, GA 30274 Phone: 470-693-8184 | |
Fred Osaretin Osayi, OD Optometrist Medicare: Medicare Enrolled Practice Location: 7583 Highway 85, Riverdale, GA 30274 Phone: 770-996-3495 | |
Dr. Haley Penrod, OD Optometrist Medicare: Medicare Enrolled Practice Location: 131 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 770-994-9913 |