| B.spectacled-suwanee | |
|
991 Peachtree Industrial Blvd Ste 114, Suwanee, GA 30024-4343 | |
| (770) 904-0883 | |
| (678) 765-0976 |
| Full Name | B.spectacled-suwanee |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 991 Peachtree Industrial Blvd Ste 114, Suwanee, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720566557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT002878 (Georgia) | Primary |
| Provider Name | Marina L Gurvich |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275819849 PECOS PAC ID: 7810148301 Enrollment ID: I20121109000202 |
| Mailing Address | Practice Location Address |
|---|---|
| B.spectacled-suwanee 991 Peachtree Industrial Blvd Ste 114, Suwanee, GA 30024-4343 Ph: (770) 904-0883 | B.spectacled-suwanee 991 Peachtree Industrial Blvd Ste 114, Suwanee, GA 30024-4343 Ph: (770) 904-0883 |
Shundale Thomas Mixon, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1300 Peachtree Industrial Blvd Ste 1206, Suwanee, GA 30024 Phone: 334-318-0713 | |
John J Gallagher, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4320 Suwanee Dam Rd., Suite 2100, Suwanee, GA 30024 Phone: 770-614-8577 Fax: 770-614-8509 | |
Richard L Heggeland, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1000 Peachtree Industrial Blvd Ste 14, Suwanee, GA 30024 Phone: 770-271-0611 Fax: 770-271-5525 | |
Eyebelieve Eyecare & Optical Optometrist Medicare: Medicare Enrolled Practice Location: 1295 Old Peachtree Rd Nw Ste 160, Suwanee, GA 30024 Phone: 770-545-8401 | |
Myeyedr. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1000 Peachtree Industrial Blvd, Suwanee, GA 30024 Phone: 770-271-0611 | |
Scott T Emely, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4330 Johns Creek Pkwy, Suite 300, Suwanee, GA 30024 Phone: 770-232-7844 Fax: 770-232-9455 | |
Advanced Family Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 960 Scales Rd, Suite 130, Suwanee, GA 30024 Phone: 770-614-8577 |