Organization
ICARE OF WEST GEORGIA
Active
Other names
PEARLE VISION
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH ALBERT HOLLAND (VICE PRESIDENT)
(770) 834-1008
Entity
Organization
Contact information
Practice address
1313 S PARK ST, CARROLLTON, GA 30117-4433
(770) 832-1457
(770) 214-9693
Mailing address
1313 S PARK ST, CARROLLTON, GA 30117-4433
(770) 832-1457
(770) 214-9693
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
003633
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IC-23266
SPECTERA PROVIDER NUMBER
GA
Enumeration date
12/11/2006
Last updated
08/12/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us