EYE GALLERIA NPI 1366605594

NPI Information

  • NPI: 1366605594
  • Provider Name: EYE GALLERIA
  • Classification: Technician/Technologist - 156F00000X
  • Entity Type: Organization
  • Address: 3230 STEVE REYNOLDS BLVD STE 110
    DULUTH, GA
    ZIP 30096
  • Phone: (678) 417-0110

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NPI Details

EYE GALLERIA is a technician technologist in Duluth, GA. The provider is a broad category grouping different kinds of technologists and technicians. See individual definitions. EYE GALLERIA NPI is 1366605594. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3230 STEVE REYNOLDS BLVD STE 110
DULUTH, GA
ZIP 30096-832
Phone: (678) 417-0110
Fax: (678) 417-0120

The provider's authorized official is Byung Kon Kim .
The authorized official title is Owner and has the following contact phone number (678) 417-0110.

The enumeration date for this NPI number is 7/8/2008 and was last updated on 7/8/2008.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1156F00000XTechnician/Technologist2008020961GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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