Clayton Eye Center Or Spalding Eye Center | |
1000 Corporate Center Dr, Ste 100, Morrow, GA 30260-4180 | |
(770) 968-8888 | |
(770) 960-2473 |
Full Name | Clayton Eye Center Or Spalding Eye Center |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 1000 Corporate Center Dr, Morrow, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699888131 | NPI | - | NPPES |
C16012 | Other | GA | RAILROAD MEDICARE |
300027085A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
332H00000X | Eyewear Supplier | 016040001 (Georgia) | Secondary |
Provider Name | Peter Qiang Chen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1740275007 PECOS PAC ID: 7911976832 Enrollment ID: I20040928000730 |
Provider Name | David Dheurle |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1912098435 PECOS PAC ID: 2466510656 Enrollment ID: I20081016000202 |
Provider Name | Carey Phlong |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1912294984 PECOS PAC ID: 7315115896 Enrollment ID: I20110728000146 |
Provider Name | Daniel Strait |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1740274273 PECOS PAC ID: 1153594239 Enrollment ID: I20111107000104 |
Provider Name | Myong Lee |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1578558862 PECOS PAC ID: 8123291135 Enrollment ID: I20111107000551 |
Provider Name | Joon Y Kim |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1942295233 PECOS PAC ID: 1951370873 Enrollment ID: I20111115000291 |
Provider Name | Jennifer L Kim |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1811286149 PECOS PAC ID: 8022323583 Enrollment ID: I20160614000877 |
Provider Name | Brenton Douglas Smith |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1578913422 PECOS PAC ID: 5597059089 Enrollment ID: I20160805001275 |
Provider Name | John Coghlan Allen |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1679969935 PECOS PAC ID: 2466786421 Enrollment ID: I20190625001497 |
Provider Name | Diem My Thi Bui |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1801449350 PECOS PAC ID: 8820326960 Enrollment ID: I20190827002362 |
Provider Name | Christopher Hahn Lee |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1992215719 PECOS PAC ID: 7719236991 Enrollment ID: I20201130000222 |
Provider Name | Lauren Michelle Dubiner |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1043730351 PECOS PAC ID: 1254697402 Enrollment ID: I20210618000716 |
Provider Name | Anbinh Ho |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1275299471 PECOS PAC ID: 7810388808 Enrollment ID: I20211230000841 |
Provider Name | Ericka Garcia |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1487389649 PECOS PAC ID: 9638555972 Enrollment ID: I20221010002766 |
Provider Name | Chan Yoon Kim |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1528848074 PECOS PAC ID: 5294179719 Enrollment ID: I20240222003462 |
Mailing Address | Practice Location Address |
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Clayton Eye Center Or Spalding Eye Center 1000 Corporate Center Dr, Ste 100, Morrow, GA 30260-4180 Ph: (770) 968-8888 | Clayton Eye Center Or Spalding Eye Center 1000 Corporate Center Dr, Ste 100, Morrow, GA 30260-4180 Ph: (770) 968-8888 |