Gwinnett Pediatric & Adult Eye Center | |
1300 Peachtree Industrial Blvd Ste 1206, Suwanee, GA 30024-4550 | |
(334) 318-0713 | |
Not Available |
Full Name | Gwinnett Pediatric & Adult Eye Center |
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Type | Facility |
Speciality | Optometrist |
Location | 1300 Peachtree Industrial Blvd Ste 1206, Suwanee, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1578210589 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Shundale Thomas Mixon |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1013403088 PECOS PAC ID: 9537402367 Enrollment ID: I20190520001460 |
Mailing Address | Practice Location Address |
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Gwinnett Pediatric & Adult Eye Center 1300 Peachtree Industrial Blvd Ste 1206, Suwanee, GA 30024-4550 Ph: (770) 783-2162 | Gwinnett Pediatric & Adult Eye Center 1300 Peachtree Industrial Blvd Ste 1206, Suwanee, GA 30024-4550 Ph: (334) 318-0713 |
Shundale Thomas Mixon, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1300 Peachtree Industrial Blvd Ste 1206, Suwanee, GA 30024 Phone: 334-318-0713 | |
John J Gallagher, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4320 Suwanee Dam Rd., Suite 2100, Suwanee, GA 30024 Phone: 770-614-8577 Fax: 770-614-8509 | |
Richard L Heggeland, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1000 Peachtree Industrial Blvd Ste 14, Suwanee, GA 30024 Phone: 770-271-0611 Fax: 770-271-5525 | |
Eyebelieve Eyecare & Optical Optometrist Medicare: Medicare Enrolled Practice Location: 1295 Old Peachtree Rd Nw Ste 160, Suwanee, GA 30024 Phone: 770-545-8401 | |
Myeyedr. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1000 Peachtree Industrial Blvd, Suwanee, GA 30024 Phone: 770-271-0611 | |
Scott T Emely, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4330 Johns Creek Pkwy, Suite 300, Suwanee, GA 30024 Phone: 770-232-7844 Fax: 770-232-9455 | |
Advanced Family Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 960 Scales Rd, Suite 130, Suwanee, GA 30024 Phone: 770-614-8577 |