| Wildwood Eye Care | |
|
1545 Powers Ferry Rd, Suite 240, Marietta, GA 30067-9412 | |
| (770) 952-6412 | |
| (770) 953-2738 |
| Full Name | Wildwood Eye Care |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1545 Powers Ferry Rd, Marietta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396073862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Stuart R Tasman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073548426 PECOS PAC ID: 4183537020 Enrollment ID: I20031120000606 |
| Provider Name | Heather Zutaut |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699709246 PECOS PAC ID: 4284622762 Enrollment ID: I20040510001469 |
| Provider Name | Nicole L Mardak |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033551767 PECOS PAC ID: 4789826256 Enrollment ID: I20130813000285 |
| Mailing Address | Practice Location Address |
|---|---|
| Wildwood Eye Care 1545 Powers Ferry Rd, Suite 240, Marietta, GA 30067-9412 Ph: (770) 952-6412 | Wildwood Eye Care 1545 Powers Ferry Rd, Suite 240, Marietta, GA 30067-9412 Ph: (770) 952-6412 |
Nicole L Mardak, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1545 Powers Ferry Rd Se, Suite 240, Marietta, GA 30067 Phone: 770-952-6412 Fax: 770-953-2738 | |
Mr. Stuart R Tasman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1545 Powers Ferry Rd Se Ste 240, Marietta, GA 30067 Phone: 770-952-6412 Fax: 678-369-7212 | |
Marietta Vision Professionals Optometrist Medicare: Medicare Enrolled Practice Location: 2230 Roswell Rd, Suite 100, Marietta, GA 30062 Phone: 678-903-2579 Fax: 678-903-2583 | |
Dr. Scott Busey Holcomb, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3625 Dallas Hwy Sw, Ste 660, Marietta, GA 30064 Phone: 770-590-8951 Fax: 770-590-8135 | |
Gray W Sass, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1545 Powers Ferry Rd Se, Ste 240, Marietta, GA 30067 Phone: 770-952-6412 Fax: 770-953-2738 | |
The Saun Corporation Optometrist Medicare: Medicare Enrolled Practice Location: 4690 Jefferson Township Ln, Marietta, GA 30066 Phone: 404-402-7870 Fax: 770-872-7463 | |
Dr. Jennifer Lynne Travis, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3625 Dallas Hwy Sw, Suite 660, Marietta, GA 30064 Phone: 770-590-8951 |