Organization
APEX EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE ESEKHEIGBE O.D. (MANAGING DIRECTOR)
(678) 395-7262
Entity
Organization
Contact information
Practice address
3694 CLUB DRIVE UNIT 101, LAWRENCEVILLE, GA 30044
(678) 395-7262
(678) 395-7344
Mailing address
P.O.BOX 390693, SNELLVILLE, GA 30039
(678) 395-7262
(678) 395-7344
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPTOO2117
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202G702625
PTAN
—
Enumeration date
07/19/2018
Last updated
07/19/2018
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