Organization
GS EYECARE
Active
Other names
Eye Site of Cumming
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON K GABRELS OD (PRESIDENT)
(770) 844-8411
Entity
Organization
Contact information
Practice address
184 TRI COUNTY PLZ, CUMMING, GA 30040-2729
(770) 844-8411
(770) 889-2191
Mailing address
184 TRI COUNTY PLZ, CUMMING, GA 30040-2729
(770) 844-8411
(770) 889-2191
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
L20063005
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00069825A
—
GA
05
—
000873232A
—
GA
05
—
101533
—
GA
05
—
92534
—
GA
Enumeration date
06/16/2008
Last updated
06/16/2008
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