| Trenton Gaasch, OD | |
|
1365 Clifton Rd Ne, Atlanta, GA 30322-5700 | |
| (931) 237-7011 | |
| Not Available |
| Full Name | Trenton Gaasch |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 1365 Clifton Rd Ne, Atlanta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710338025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3309 (Tennessee) | Secondary |
| 152W00000X | Optometrist | OPT003548 (Georgia) | Primary |
| Provider Name | The Emory Clinic Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
| Provider Name | Emory Medical Care Foundation Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968 |
| Mailing Address | Practice Location Address |
|---|---|
| Trenton Gaasch, OD 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 Ph: (404) 778-5163 | Trenton Gaasch, OD 1365 Clifton Rd Ne, Atlanta, GA 30322-5700 Ph: (931) 237-7011 |
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