Organization
EYE CARE CENTERS MANAGEMENT INC
Active
Other names
Clayton Eye Center or Spalding Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOON Y KIM MD (OWNER)
(770) 968-8888
Entity
Organization
Contact information
Practice address
1000 CORPORATE CENTER DR, STE 100, MORROW, GA 30260-4180
(770) 968-8888
(770) 960-2473
Mailing address
1000 CORPORATE CENTER DR, STE 100, MORROW, GA 30260-4180
(770) 968-8888
(770) 960-2473
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
332H00000X
Eyewear Supplier
016040001
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300027085A
—
GA
01
—
C16012
RAILROAD MEDICARE
GA
Enumeration date
08/17/2006
Last updated
03/31/2021
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