Legacy Family Eyecare Inc

LBN: Legacy Family Eyecare Inc
Legacy Family Eyecare Inc is an health care organization with primary practice located at 210 Hudson St , Cumming GA 30040-2432. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Legacy Family Eyecare Inc can be contacted via phone (770) 887-9171, or through Roberts, Michael via phone (770) 887-9171.

Contact Information

Primary practice address
210 Hudson St Cumming GA 30040-2432
Phone: (770) 887-9171
Fax: (770) 887-9180
Website:
Map and Directions
Authorized official contact:
Name: Roberts, Michael Doctor of Optometry (OD)
Phone: (770) 887-9171

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT001092 Georgia

Profile Details

NPI number 1689958183
LBN Legal business name Legacy Family Eyecare Inc
DBA Doing business as
Authorized official Roberts, Michael Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2011
Last updated Apr 5th, 2019 - about 7 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 1689958183 NPPES
Georgia MEDICAID 00324816A

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