Tj Roberts, Llc

LBN: Tj Roberts, Llc
Tj Roberts, Llc is an health care organization with primary practice located at 539 Glynn St N , Fayetteville GA 30214-1108. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Tj Roberts, Llc can be contacted via phone (678) 817-7722, or through Roberts, Terrence via phone (770) 256-6073.

Contact Information

Primary practice address
539 Glynn St N Fayetteville GA 30214-1108
Phone: (678) 817-7722
Fax: (678) 817-0067
Website:
Map and Directions
Authorized official contact:
Name: Roberts, Terrence Doctor of Optometry (OD)
Phone: (770) 256-6073

Health care specialties

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

Profile Details

NPI number 1386200046
LBN Legal business name Tj Roberts, Llc
DBA Doing business as
Authorized official Roberts, Terrence Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2019
Last updated May 17th, 2019 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1386200046 NPPES
Georgia MEDICAID 003208256A

Popular Providers