MODERN EYECARE OF MEDLOCK NPI 1487719084

NPI Information

  • NPI: 1487719084
  • Provider Name: MODERN EYECARE OF MEDLOCK
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 9700 MEDLOCK BRIDGE RD
    SUITE 182
    DULUTH, GA
    ZIP 30097
  • Phone: (678) 205-1599

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NPI Details

MODERN EYECARE OF MEDLOCK is a durable medical equipment medical supplies in Duluth, GA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MODERN EYECARE OF MEDLOCK NPI is 1487719084. The provider is registered as an organization entity type.

The provider's business location address is:

9700 MEDLOCK BRIDGE RD
SUITE 182
DULUTH, GA
ZIP 30097-411
Phone: (678) 205-1599
Fax: (678) 205-1632

The provider's authorized official is Grace K Woo .
The authorized official title is Managing Memeber and has the following contact phone number (678) 205-1599.

The enumeration date for this NPI number is 12/25/2006 and was last updated on 8/22/2020.

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
1332B00000XDurable Medical Equipment & Medical SuppliesOPT002001GEORGIAYes
2152W00000XOptometristOPT002001GEORGIAX

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: 3/30/2025

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