NPI Code Details Logo

NPI 1568555118

NPI 1568555118 : TOTAL EYECARE, PC : CARTERSVILLE, GA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1568555118
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    TOTAL EYECARE, PC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/02/2006
-----------------------------------------------------
    Last Update Date     |    01/27/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    837 JOE FRANK HARRIS PARKWAY 
-----------------------------------------------------
    City                 |    CARTERSVILLE
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30120
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    770-382-2020
-----------------------------------------------------
    Fax                  |    770-382-4880
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    837 JOE FRANK HARRIS PKWY SE 
-----------------------------------------------------
    City                 |    CARTERSVILLE
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30120-2462
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    770-382-2020
-----------------------------------------------------
    Fax                  |    770-382-4880
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT
-----------------------------------------------------
    Name                 |     GREGORY  MCBRAYER 
-----------------------------------------------------
    Credential           |    OD
-----------------------------------------------------
    Telephone            |    770-382-2020
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    152W00000X
-----------------------------------------------------
    Taxonomy Name        |    Optometrist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.