Organization
THOMAS EYE GROUP PC
Active
Other names
Thomas Eye Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROD ROESER (CEO)
(678) 781-7373
Entity
Organization
Contact information
Practice address
11690 ALPHARETTA HWY, ROSWELL, GA 30076-3805
(770) 475-5515
(770) 343-8884
Mailing address
5901A PEACHTREE DUNWOODY RD NE, STE 500, ATLANTA, GA 30328-5382
(678) 892-2020
(678) 538-1950
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB9489
RR MEDICARE
GA
Enumeration date
08/30/2006
Last updated
11/15/2013
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