Organization
NORTHLAKE EYECARE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RADHAKRISHNA ISHWARBHAI PATEL OD (PRESIDENT)
(770) 359-7647
Entity
Organization
Contact information
Practice address
4800 BRIARCLIFF RD NE STE 1173, ATLANTA, GA 30345-2743
(770) 359-7647
Mailing address
4800 BRIARCLIFF RD NE STE 1173, ATLANTA, GA 30345-2743
(770) 359-7647
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
12/13/2021
Last updated
12/31/2021
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