Organization
MOBILE MEDICAL EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEDRICK AHMED OD (OWNER)
(469) 660-4503
Entity
Organization
Contact information
Practice address
110 MOSELEY CROSSING DR, STOCKBRIDGE, GA 30281-6501
(502) 244-2420
(502) 996-8282
Mailing address
12910 SHELBYVILLE RD STE 300, LOUISVILLE, KY 40243-2404
(502) 244-2420
(502) 996-8282
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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