MEDICARE: AMERICA'S BEST CONTACTS & EYEGLASSES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332H00000X	Eyewear Supplier

General Provider Information

NPI Number	:	1649202201
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICA'S BEST CONTACTS & EYEGLASSES

Provider Business Mailing Address
First Line	:	296 GRAYSON HWY
Second Line	:
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30046-5737
Country	:	US
Telephone Number	:	700-822-3600
Fax Number	:

Provider Business Practice Location Address
First Line	:	4101 N 56TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53216-1267
Country	:	US
Telephone Number	:	414-447-9403
Fax Number	:

Authorized Official
Title or Position	:	MANAGED CARE SALES COORDINATOR
Name	:	LEAHANN VAUGHN
Credential	:
Telephone Number	:	678-892-3760

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	08/29/2014

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