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Organization
ADVANCED EYE ASSOCIATES LLC
Active
Organization
ADVANCED EYE ASSOCIATES LLC
Active
Other names
Advanced Eye of Marietta, ADVANCED EYE ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY KOTT (RCM MANAGER)
(256) 795-2559
Entity
Organization
Contact information
Practice address
2645 DALLAS HWY SW STE 100, MARIETTA, GA 30064-7577
(770) 422-8002
Mailing address
110 COLLEGE ST STE E, ATHENS, AL 35611-2714
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
152WOOOOOX
GA
152WC0802X
Corneal and Contact Management Optometrist
Primary
152WOOOOOX
GA
Other
Enumeration date
07/13/2009
Last updated
09/15/2026
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