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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