Highland Eye Boutique, Llc | |
1056 N Highland Ave Ne, Atlanta, GA 30306-3551 | |
(404) 343-0887 | |
(404) 343-2024 |
Full Name | Highland Eye Boutique, Llc |
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Type | Facility |
Speciality | Optometrist |
Location | 1056 N Highland Ave Ne, Atlanta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285959346 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | OPT002410 (Georgia) | Primary |
Provider Name | Kristie Bennett |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1427008705 PECOS PAC ID: 1658306949 Enrollment ID: I20080428000598 |
Mailing Address | Practice Location Address |
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Highland Eye Boutique, Llc 1056 N Highland Ave Ne, Atlanta, GA 30306-3551 Ph: (404) 343-0887 | Highland Eye Boutique, Llc 1056 N Highland Ave Ne, Atlanta, GA 30306-3551 Ph: (404) 343-0887 |
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