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Organization

NORTH ATLANTA EYE CARE PROFESSIONAL SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JORGE J HERNANDEZ (VP ADMIN SRVS./CCO)
(404) 851-6378
Entity
Organization

Contact information

Practice address
1000 JOHNSON FY RD NE, ATLANTA, GA 30342-1606
(855) 709-4535
Mailing address
1100 JOHNSON FY RD NE STE 780, ATLANTA, GA 30342-1743
(404) 851-6378

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
207W00000X
Ophthalmology Physician
Primary

Other

Enumeration date
11/08/2017
Last updated
01/11/2023
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