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Organization

PROCARE EYE CENTER

Active
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Organization

PROCARE EYE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BARRY JOSEPH SCHIRACK O.D. (PRESIDENT)
(770) 924-3355
Entity
Organization

Contact information

Practice address
6572 HIGHWAY 92, SUITE 100, ACWORTH, GA 30102-7562
(770) 924-3355
(770) 928-1205
Mailing address
6572 HIGHWAY 92, SUITE 100, ACWORTH, GA 30102-7562
(770) 924-3355
(770) 928-1205

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
000OPT1060
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004640859
AETNA
01
437724
COVENTRY
01
52101354001
BCBS
Enumeration date
10/10/2007
Last updated
04/20/2008
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