Modern Eyecare Of Medlock

LBN: Modern Eyecare Of Medlock
Modern Eyecare Of Medlock is an health care organization with primary practice located at 9700 Medlock Bridge Rd Suite 182, Duluth GA 30097-4411. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Durable Medical Equipment & Medical Supplies. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Modern Eyecare Of Medlock can be contacted via phone (678) 205-1599, or through Woo, Grace K via phone (678) 205-1599.

Contact Information

Primary practice address
9700 Medlock Bridge Rd Suite 182 Duluth GA 30097-4411
Fax: (678) 205-1632
Website:
Authorized official contact:
Name: Woo, Grace K

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT002001 Georgia
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X OPT002001 Georgia

Profile Details

NPI number 1487719084
LBN Legal business name Modern Eyecare Of Medlock
DBA Doing business as
Authorized official Woo, Grace K
Entity Organization
Organization subpart 1 No
Enumeration date Dec 25th, 2006
Last updated Aug 22nd, 2020 - about 4 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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