Organization
NEVUS EYE LLC
Active
Other names
Eyedeal Vision
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK BADARACCO OD (OWNER/OD)
(724) 799-1387
Entity
Organization
Contact information
Practice address
2855 JORDAN CT, ALPHARETTA, GA 30004-3869
(724) 799-1387
Mailing address
4180 BUTLER DR, CHAMBLEE, GA 30341-1361
(724) 799-1387
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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