Duey, Gary C

Duey, Gary C is an sole proprietor health care provider with primary practice located at 3405 Dallas Hwy Sw Suite 405, Marietta GA 30064-6426. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Duey, Gary C can be contacted via phone (770) 420-9877.

Contact Information

Primary practice address
3405 Dallas Hwy Sw Suite 405 Marietta GA 30064-6426
Fax: (770) 420-9898
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT001420 Georgia

Profile Details

NPI number 1669470480
LBN Legal business name Duey, Gary C
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2005
Last updated Oct 30th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669470480 NPPES
Georgia Other 52576494 BLUE CROSS/BLUE SHIELD
Georgia MEDICAID 760646583A BLUE CROSS/BLUE SHIELD

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