Jake Donald Pucci, | |
6555 Sugarloaf Pkwy Ste 305, Duluth, GA 30097-4929 | |
(773) 495-0937 | |
(678) 417-6000 |
Full Name | Jake Donald Pucci |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 5 Years |
Location | 6555 Sugarloaf Pkwy Ste 305, Duluth, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558927160 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT003262 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Perimeter Vision Care Llc | 0547685810 | 12 |
Lenox Vision Care, Llc | 8224428032 | 3 |
Cobb Eye Associates Ii Llc | 8527458330 | 4 |
Provider Name | Myeyedr Optometry Of Georgia, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1437294592 PECOS PAC ID: 8224261201 Enrollment ID: O20140428000739 |
Provider Name | Perimeter Vision Care Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1215611546 PECOS PAC ID: 0547685810 Enrollment ID: O20200803003142 |
Provider Name | Town Center Vision Care, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669929634 PECOS PAC ID: 9234546813 Enrollment ID: O20210326000744 |
Provider Name | Cobb Eye Associates Ii Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1316306145 PECOS PAC ID: 8527458330 Enrollment ID: O20211210000711 |
Provider Name | Lenox Vision Care, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1790212934 PECOS PAC ID: 8224428032 Enrollment ID: O20211210000830 |
Provider Name | Alpharetta Vision Care, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1487224150 PECOS PAC ID: 7012302656 Enrollment ID: O20220318000424 |
Mailing Address | Practice Location Address |
---|---|
Jake Donald Pucci, 1950 Old Gallows Rd Ste 520, Vienna, VA 22182-3970 Ph: (703) 847-8899 | Jake Donald Pucci, 6555 Sugarloaf Pkwy Ste 305, Duluth, GA 30097-4929 Ph: (773) 495-0937 |
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 |