Roswell Eye Clinic,Inc

LBN: Roswell Eye Clinic,Inc
Roswell Eye Clinic,Inc is an health care organization with primary practice located at 1190 Grimes Bridge Rd , Roswell GA 30075-3930. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Roswell Eye Clinic,Inc can be contacted via phone (770) 992-7620, or through Moscow, Sharon B via phone (770) 992-7620.

Contact Information

Primary practice address
1190 Grimes Bridge Rd Roswell GA 30075-3930
Phone: (770) 992-7620
Fax: (770) 992-8262
Website:
Map and Directions
Authorized official contact:
Name: Moscow, Sharon B
Phone: (770) 992-7620

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 861-T Georgia

Profile Details

NPI number 1104010594
LBN Legal business name Roswell Eye Clinic,Inc
DBA Doing business as Roswell Eye Clinic,Inc
Authorized official Moscow, Sharon B
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2007
Last updated Feb 28th, 2011 - about 14 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 1104010594 NPPES
Georgia MEDICAID 00168583A

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