| Destiny Eye Care, Pc | |
|
6631 Roswell Rd Ste G Sandy Springs GA 30328-3179 | |
| (404) 843-8248 | |
| Not Available |
| Full Name | Destiny Eye Care, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6631 Roswell Rd Ste G, Sandy Springs, Georgia |
| Authorized Official Name and Position | Desarae Bonds (OWNER) |
| Authorized Official Contact | 6787709941 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Destiny Eye Care, Pc 600 Garson Dr Ne Apt 10307 Atlanta GA 30324-6215 Ph: (678) 770-9941 | Destiny Eye Care, Pc 6631 Roswell Rd Ste G Sandy Springs GA 30328-3179 Ph: (404) 843-8248 |
| NPI Number | 1093181455 |
|---|---|
| Provider Enumeration Date | 08/19/2015 |
| Last Update Date | 09/28/2023 |
| Medicare PECOS PAC ID | 3476860750 |
|---|---|
| Medicare Enrollment ID | O20150918001216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093181455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Desarae Bonds |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518196914 PECOS PAC ID: 0042336869 Enrollment ID: I20100929000348 |
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