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General NPI Number Information
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NPI Number | 1023969144
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Entity Type | Organization
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Legal Business Name | EYE CARROLLTON PC
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Dates
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Enumeration Date | 02/05/2026
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 101 NEWNAN ST
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City | CARROLLTON
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State | GA
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Zip | 30117-3225
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Country | US
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Telephone | 770-830-4900
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Fax |
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Provider Business Mailing Address
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Address Line | 119 MAPLE ST STE 205
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City | CARROLLTON
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State | GA
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Zip | 30117-3259
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Country | US
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Telephone | 770-403-8430
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. REBECCA GOAD
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Credential | OD
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Telephone | 931-436-5382
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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