Healthcare Provider Details

I. General information

NPI: 1649102583
Provider Name (Legal Business Name): VISION ONE EYE CARE DULUTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1630 PLEASANT HILL RD STE 120
DULUTH GA
30096-5899
US

IV. Provider business mailing address

1630 PLEASANT HILL RD STE 120
DULUTH GA
30096-5899
US

V. Phone/Fax

Practice location:
  • Phone: 678-578-7915
  • Fax: 678-688-9005
Mailing address:
  • Phone: 678-578-7915
  • Fax: 678-688-9005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: PHILLIP HUYNH
Title or Position: OWNER
Credential: OD
Phone: 678-578-7915