Gwinnett Eye Clinic

LBN: Gwinnett Eye Clinic
Gwinnett Eye Clinic is an health care organization with primary practice located at 3455 Peachtree Industrial Blvd Suite 845, Duluth GA 30096-6501. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Gwinnett Eye Clinic can be contacted via phone (770) 476-3606, or through Pitts, Karen E via phone (770) 476-3606.

Contact Information

Primary practice address
3455 Peachtree Industrial Blvd Suite 845 Duluth GA 30096-6501
Phone: (770) 476-3606
Fax: (770) 476-2818
Website:
Map and Directions
Authorized official contact:
Name: Pitts, Karen E
Phone: (770) 476-3606

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT000841

Profile Details

NPI number 1619093531
LBN Legal business name Gwinnett Eye Clinic
DBA Doing business as
Authorized official Pitts, Karen E
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2007
Last updated Feb 25th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619093531 NPPES
Georgia MEDICAID 00147672C

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