Healthcare Provider Details

I. General information

NPI: 1083943989
Provider Name (Legal Business Name): AMERICA'S BEST EYEGLASSES & CONTACTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/24/2009
Last Update Date: 12/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1504 GEMINI PL
COLUMBUS OH
43240-7002
US

IV. Provider business mailing address

296 GRAYSON HWY
LAWRENCEVILLE GA
30046-5737
US

V. Phone/Fax

Practice location:
  • Phone: 614-503-5024
  • Fax: 614-503-5025
Mailing address:
  • Phone: 770-822-3600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number State

VIII. Authorized Official

Name: SUSAN EDICK
Title or Position: MC ASSISTANT
Credential:
Phone: 678-892-3774