Gwinnett Eye Clinic | |
3455 Peachtree Industrial Blvd, Suite 845, Duluth, GA 30096-6501 | |
(770) 476-3606 | |
(770) 476-2818 |
Full Name | Gwinnett Eye Clinic |
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Type | Facility |
Speciality | Optometrist |
Location | 3455 Peachtree Industrial Blvd, Duluth, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619093531 | NPI | - | NPPES |
00147672C | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | OPT000841 (* (Not Available)) | Primary |
Provider Name | Phillip E Johnson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1184703464 PECOS PAC ID: 6002869773 Enrollment ID: I20050223000347 |
Mailing Address | Practice Location Address |
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Gwinnett Eye Clinic 3455 Peachtree Industrial Blvd, Suite 845, Duluth, GA 30096-6501 Ph: (770) 476-3606 | Gwinnett Eye Clinic 3455 Peachtree Industrial Blvd, Suite 845, Duluth, GA 30096-6501 Ph: (770) 476-3606 |
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. Laila Mousavi Shah, Optometrist Medicare: Medicare Enrolled Practice Location: 2435 Commerce Ave Bldg 2200, Duluth, GA 30096 Phone: 858-472-6162 | |
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 |