Nooshin Yazdanpanah, OD | |
2402 Southlake Mall, Morrow, GA 30260-2334 | |
(770) 961-1001 | |
(770) 961-4073 |
Full Name | Nooshin Yazdanpanah |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 2402 Southlake Mall, Morrow, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740466309 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT002417 (Georgia) | Primary |
Provider Name | Ga Doctors Of Optometry Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174105936 PECOS PAC ID: 7719375419 Enrollment ID: O20211221000300 |
Mailing Address | Practice Location Address |
---|---|
Nooshin Yazdanpanah, OD 11103 West Ave, Ste. 6, San Antonio, TX 78213-1370 Ph: (210) 524-6663 | Nooshin Yazdanpanah, OD 2402 Southlake Mall, Morrow, GA 30260-2334 Ph: (770) 961-1001 |
Kirk L Smick, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1000 Corporate Center Drive, Suite 100, Morrow, GA 30260 Phone: 770-968-8888 Fax: 770-960-2473 | |
Family Eye Care Center Of Atlanta, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1400 Southlake Mall, Morrow, GA 30260 Phone: 678-422-1936 Fax: 678-422-1936 | |
Thomas Eye Group Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1544 Southlake Pkwy Ste 9b, Morrow, GA 30260 Phone: 770-961-9090 Fax: 770-961-4343 | |
Andre Whitehead, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2402 Southlake Mall, Morrow, GA 30260 Phone: 770-961-1001 Fax: 770-961-4073 | |
Dr. Carla Renee Lindsay, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1281 Southlake Cir, Morrow, GA 30260 Phone: 770-961-2998 Fax: 770-961-0110 | |
Anbinh Ho, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1000 Corporate Center Dr Ste 100, Morrow, GA 30260 Phone: 770-968-8888 | |
Clayton Eye Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1000 Corporate Center Dr Ste 100, Morrow, GA 30260 Phone: 770-968-8888 Fax: 770-960-2473 |