Organization
EASTMETRO EYECARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIMMIE BAILEY (INSURANCE)
(770) 922-7906
Entity
Organization
Contact information
Practice address
1013 E FREEWAY DR SE, CONYERS, GA 30094-5965
(770) 922-7906
(770) 483-0498
Mailing address
1013 E FREEWAY DR SE, CONYERS, GA 30094-5965
(770) 922-7906
(770) 483-0498
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
796
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GA0796
EYEMED
GA
01
—
VGA001657
AVESIS
GA
Enumeration date
11/15/2006
Last updated
08/22/2020
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