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ADVANCED EYE ASSOCIATES LLC NPI 1720217771


NPI Information

NPI: 1720217771
Provider Name: ADVANCED EYE ASSOCIATES LLC
Classification: Optometrist - 152WC0802X
Entity Type: Organization

Specialization: Corneal and Contact Management

Address:
2645 DALLAS HWY SW
SUITE 100
MARIETTA, GA
ZIP 30064
Phone: (770) 422-8002
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ADVANCED EYE ASSOCIATES LLC is a corneal and contact management optometrist in Marietta, GA. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. ADVANCED EYE ASSOCIATES LLC NPI is 1720217771. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2645 DALLAS HWY SW
SUITE 100
MARIETTA, GA
ZIP 30064-541
Phone: (770) 422-8002
Fax: (770) 422-4618

The provider's authorized official is Alfred M Long .
The authorized official title is Physician and has the following contact phone number (770) 422-8002.

The enumeration date for this NPI number is 7/13/2009 and was last updated on 2/22/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WC0802XOptometristCorneal and Contact Management152WOOOOOXGEORGIAYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
141ZCBCSMEDICARE PIN
2U25346MEDICARE UPINGEORGIA
341ZCCJJMEDICARE PINGEORGIA
4U22423MEDICARE UPIN

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: 11/14/2023

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