Dr Laila Mousavi Shah, | |
2435 Commerce Ave Bldg 2200, Duluth, GA 30096-4980 | |
(858) 472-6162 | |
Not Available |
Full Name | Dr Laila Mousavi Shah |
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Gender | Female |
Speciality | Optometrist |
Location | 2435 Commerce Ave Bldg 2200, Duluth, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033405568 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 14151 (California) | Primary |
Provider Name | Spectrum Eyecare Optometry Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1801949573 PECOS PAC ID: 5193821353 Enrollment ID: O20070503000592 |
Mailing Address | Practice Location Address |
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Dr Laila Mousavi Shah, 22542 Swanstone Ct, Frankfort, IL 60423-9022 Ph: (858) 472-6162 | Dr Laila Mousavi Shah, 2435 Commerce Ave Bldg 2200, Duluth, GA 30096-4980 Ph: (858) 472-6162 |
Dr. Alexis Yu, Optometrist Medicare: Medicare Enrolled Practice Location: 2635 Pleasant Hill Rd, Duluth, GA 30096 Phone: 770-476-2164 | |
Christina T Phan, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2730 Peachtree Industrial Blvd Ste 206, Duluth, GA 30097 Phone: 404-721-3268 Fax: 404-475-4880 | |
Dr. Scott Roland Robirds, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11460 Johns Creek Parkway, Duluth, GA 30097 Phone: 678-415-3830 Fax: 678-415-2683 | |
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2435 Commerce Ave, Duluth, GA 30096 Phone: 770-822-3600 | |
Dr. Patrick L Flores, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3980 Venture Dr, Duluth, GA 30096 Phone: 770-622-3133 Fax: 770-622-8939 | |
Samantha Lee Claxton, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3820 Pleasant Hill Rd Ste 5, Duluth, GA 30096 Phone: 770-476-9585 |