MEDICARE: ROSS EYECARE GROUP, P.C.

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
1	152W00000X	Optometrist		GA

General Provider Information

NPI Number	:	1063529725
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROSS EYECARE GROUP, P.C.

Provider Business Mailing Address
First Line	:	2625 PIEDMONT RD NE
Second Line	:	SUITE G36
City	:	ATLANTA
State	:	GA
Zip	:	30324-3086
Country	:	US
Telephone Number	:	404-233-3513
Fax Number	:	404-814-0184

Provider Business Practice Location Address
First Line	:	2625 PIEDMONT RD NE
Second Line	:	SUITE G36
City	:	ATLANTA
State	:	GA
Zip	:	30324-3086
Country	:	US
Telephone Number	:	404-233-3513
Fax Number	:	404-814-0184

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. ROBERT D BUTTERWICK
Credential	:	O.D.
Telephone Number	:	404-233-3513

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	08/23/2024

Similar Medicare Providers

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Practice Location Address:

2625 PIEDMONT RD NE , SUITE 36G
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1982920195 — LIGHT GROUP SERVICES, INC
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