Gwinnett Pediatric & Adult Eye Center

LBN: Gwinnett Pediatric & Adult Eye Center
Gwinnett Pediatric & Adult Eye Center is an health care organization with primary practice located at 1300 Peachtree Industrial Blvd Ste 1206 , Suwanee GA 30024-4550. 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 Pediatric & Adult Eye Center can be contacted via phone (334) 318-0713, or through Mixon, Shundale Thomas via phone (770) 783-2162.

Contact Information

Primary practice address
1300 Peachtree Industrial Blvd Ste 1206 Suwanee GA 30024-4550
Phone: (334) 318-0713
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mixon, Shundale Thomas
Phone: (770) 783-2162

Health care specialties

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

Profile Details

NPI number 1578210589
LBN Legal business name Gwinnett Pediatric & Adult Eye Center
DBA Doing business as
Authorized official Mixon, Shundale Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2022
Last updated Oct 4th, 2023 - about 2 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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