Family Eyecare Of Roswell | |
910 Holcomb Bridge Rd, Suite 100, Roswell, GA 30076-1981 | |
(770) 992-6789 | |
(770) 640-6789 |
Full Name | Family Eyecare Of Roswell |
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Type | Facility |
Speciality | Optometrist |
Location | 910 Holcomb Bridge Rd, Roswell, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174515464 | NPI | - | NPPES |
000641319A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | GA001234 (Georgia) | Primary |
Provider Name | Maurice E Zadeh |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1780677476 PECOS PAC ID: 7810935715 Enrollment ID: I20050421000209 |
Mailing Address | Practice Location Address |
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Family Eyecare Of Roswell 910 Holcomb Bridge Rd, Ste 100, Roswell, GA 30076-1981 Ph: (770) 992-6789 | Family Eyecare Of Roswell 910 Holcomb Bridge Rd, Suite 100, Roswell, GA 30076-1981 Ph: (770) 992-6789 |
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