Atlanta Eye Center, LLC
Organization Active NPI Optometrist · Atlanta, GA
NPI 1205930666 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1205930666
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- OPT2319 (GA)
- Legal business name
- ATLANTA EYE CENTER, LLC
- Practice address
- 1801 Howell Mill Rd
Wal-Mart Vision Center #3775
Atlanta, GA 30318 - Phone
- (404) 352-3414
- Fax
- (404) 352-3416
- NPI assigned
- Sep 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Kim C Raharja, OD
- Title
- Ceo
- Phone
- (678) 656-6305
Practitioners 5
-
Jamilah L Birdsong, O.D.
-
Stephen Mammoottil John, O.D.
-
Cara Patterson Robison, O.D.
-
Anh My Phung, O.D.
-
Omar Rivera Mojica, O.D.
National Provider Directory
Locations
1510 E Fowler Ave
Tampa, FL 33612
Phone (813) 971-0471
2020 Howell Mill Rd NW
#C145
Atlanta, GA 30318
2020 Howell Mill Rd NW
Ste C145
Atlanta, GA 30318
1801 Howell Mill Rd NW
#3775
Atlanta, GA 30318
Phone (404) 352-3414
2020 Howell Mill Rd NW
Ste 100
Atlanta, GA 30318
1801 Howell Mill Rd NW
Ste 400
Atlanta, GA 30318
1801 Howell Mill Rd NW
Ste C145
Atlanta, GA 30318
3580 Memorial Dr
Decatur, GA 30032
Phone (404) 284-0701
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | OPT2319 | GA | Yes |
Addresses
Primary practice location
1801 Howell Mill Rd
Wal-Mart Vision Center #3775
Atlanta, GA 30318
Mailing address
4717 Cambridge Trce
Dunwoody, GA 30338-5252
Phone (678) 656-6305
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- Atlanta ENT Sinus & Allergy Associates PC
- Atlanta Eye Associates Group LLC
- Atlanta Eye Care
- Atlanta Eye Consultants
- Atlanta Eye International Surgery Center Inc.
- Atlanta Eye Shop, Inc
- Atlanta Family Foot Care, LLC
- Atlanta Family Home Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.