Hazel Family Eyecare

LBN: Tara Fowler Optometric Corporation
Hazel Family Eyecare is an health care organization with primary practice located at 930 Marietta Hwy Ste 400 , Roswell GA 30075-6754. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Tara Fowler Optometric Corporation can be contacted via phone (770) 998-3937, or through Fowler, Tara Leigh via phone (404) 414-3238.

Contact Information

Primary practice address
930 Marietta Hwy Ste 400 Roswell GA 30075-6754
Phone: (770) 998-3937
Fax: (770) 783-5066
Website:
Map and Directions
Authorized official contact:
Name: Fowler, Tara Leigh Doctor of Optometry (OD)
Phone: (404) 414-3238

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT002415 Georgia

Profile Details

NPI number 1184851800
LBN Legal business name Tara Fowler Optometric Corporation
DBA Doing business as Hazel Family Eyecare
Authorized official Fowler, Tara Leigh Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2009
Last updated Jan 13th, 2020 - about 5 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 1184851800 NPPES
Georgia MEDICAID 349274885A

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