MEDICARE: AMERICA'S BEST CONTACTS & EYEGLASSES

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	156FX1800X	Optician

General Provider Information

NPI Number	:	1093131088
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICA'S BEST CONTACTS & EYEGLASSES

Provider Business Mailing Address
First Line	:	296 GRAYSON HWY
Second Line	:
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30046-5737
Country	:	US
Telephone Number	:	770-822-3600
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 N TOWN EAST BLVD
Second Line	:
City	:	MESQUITE
State	:	TX
Zip	:	75150-4157
Country	:	US
Telephone Number	:	469-608-2654
Fax Number	:	469-608-2659

Authorized Official
Title or Position	:	MANAGED CARE COORDINATOR
Name	:	LEAHANN VAUGHN
Credential	:
Telephone Number	:	770-822-3600

Provider Enumeration Date	:	03/14/2014
Last Update Date	:	03/14/2014

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