MARMER MEDICAL EYE CENTER PC-DBA ATLANTA FASHION OPTICAL NPI 1457476731

NPI Information

MARMER MEDICAL EYE CENTER PC-DBA ATLANTA FASHION OPTICAL is a specialist in Atlanta, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MARMER MEDICAL EYE CENTER PC-DBA ATLANTA FASHION OPTICAL NPI is 1457476731. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

777 CLEVELAND AVE SW
SUITE 102
ATLANTA, GA
ZIP 30315-129
Phone: (404) 768-2020
Fax: (404) 762-0087

The provider's authorized official is Robert H Marmer .
The authorized official title is Medical Director and has the following contact phone number (404) 768-2020.

The CLIA number assigned to this NPI record is 11D0937089 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 8/18/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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