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General NPI Number Information
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NPI Number | 1073730263
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Entity Type | Organization
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Legal Business Name | DEPOE EYE CENTER PC
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 550 EAGLES LANDING PKWY STE 208
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-9082
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Country | US
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Telephone | 770-474-1237
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Fax | 770-474-5224
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Provider Business Mailing Address
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Address Line | 550 EAGLES LANDING PKWY STE 208
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-9082
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Country | US
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Telephone | 770-474-1237
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Fax | 770-474-5224
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Authorized Official
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Title or Position | PRACTICE DIRECTOR
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Name | TAMMY MICHELLE WRIGHT
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Credential |
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Telephone | 770-474-1237
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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 | OPT001305
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License Number State | GA
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