| Eyes On Towne Lake | |
|
1075 Buckhead Xing, Suite 130, Woodstock, GA 30189-4262 | |
| (770) 702-5996 | |
| Not Available |
| Full Name | Eyes On Towne Lake |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1075 Buckhead Xing, Woodstock, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568811610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 001878 (Georgia) | Primary |
| Provider Name | Jennifer Dattolo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962596627 PECOS PAC ID: 1850573643 Enrollment ID: I20160906002375 |
| Mailing Address | Practice Location Address |
|---|---|
| Eyes On Towne Lake 1075 Buckhead Xing, Suite 130, Woodstock, GA 30189-4262 Ph: (770) 702-5996 | Eyes On Towne Lake 1075 Buckhead Xing, Suite 130, Woodstock, GA 30189-4262 Ph: (770) 702-5996 |
Dr. Neville Kersi Dalal, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 113 Lincoln St, Costco - Optometry, Woodstock, GA 30188 Phone: 770-694-7208 | |
Woodstock Vision Center, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9801 Highway 92, Suite 100, Woodstock, GA 30188 Phone: 770-592-7400 | |
Dr. Christopher T Luft, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1010 Wyngate Pkwy Ste 201, Woodstock, GA 30189 Phone: 770-926-2858 | |
Marietta Eye Clinic, Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2990 Eagle Dr Ste 110, Woodstock, GA 30189 Phone: 770-427-8111 | |
Sidney A. Gottlieb, O.d., P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12182 Highway 92, Woodstock, GA 30188 Phone: 770-591-9838 Fax: 678-445-3803 | |
Anchita S Dalal, OD Optometrist Medicare: Medicare Enrolled Practice Location: 113 Lincoln St, Woodstock, GA 30188 Phone: 770-694-7208 | |
Steven J Keith, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1010 Wyngate Pkwy, Ste 201, Woodstock, GA 30189 Phone: 770-926-2858 Fax: 770-926-5106 |