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NPI Code Detail

MEDICARE: THOMAS EYE GROUP PC

MEDICARE: THOMAS EYE GROUP PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist

General Provider Information

NPI Number : 1043093487
Entity Type Code : Organization
Provider Name (Legal Business Name) : THOMAS EYE GROUP PC
Provider Business Mailing Address
First Line : 5901 PEACHTREE DUNWOODY RD STE A500
Second Line :
City : ATLANTA
State : GA
Zip : 30328-7162
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 546 LAKELAND PLZ
Second Line :
City : CUMMING
State : GA
Zip : 30040-2782
Country : US
Telephone Number : 678-892-2020
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : PAUL L KAUFMAN
Credential :
Telephone Number : 678-892-2020
Provider Enumeration Date : 08/18/2023
Last Update Date : 08/18/2023

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