Organization
AKSTEIN EYE CENTER, ASC
Active
Other names
Akstein Eye Center, ASC
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO BRASILIANO AKSTEIN MD (MEDICAL DIRECTOR)
(770) 996-4844
Entity
Organization
Contact information
Practice address
86 UPPER RIVERDALE RD SW, SUITE 100, RIVERDALE, GA 30274-2622
(770) 996-4844
(770) 907-0884
Mailing address
86 UPPER RIVERDALE RD SW, SUITE 100, RIVERDALE, GA 30274-2622
(770) 996-4844
(770) 907-0884
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000880745A
—
GA
01
—
111172ASCA
MEDICARE PROVIDER NUMBER
GA
Enumeration date
08/13/2007
Last updated
03/05/2025
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