Organization
COAL MOUNTAIN EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT BORDNER (OWNER)
(662) 910-0735
Entity
Organization
Contact information
Practice address
5310 MATT HWY STE 301, CUMMING, GA 30028-8627
(662) 910-0735
Mailing address
205 HIGHLAND GATE CIR, SUWANEE, GA 30024-1795
(662) 910-0735
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
07/11/2025
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