MEDICARE: VODA EYE GROUP, LLC

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

General Provider Information

NPI Number	:	1326876673
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VODA EYE GROUP, LLC

Provider Business Mailing Address
First Line	:	80 HORIZON DR STE 504-601A
Second Line	:
City	:	SUWANEE
State	:	GA
Zip	:	30024-2936
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	80 HORIZON DR STE 504-601A
Second Line	:
City	:	SUWANEE
State	:	GA
Zip	:	30024-2936
Country	:	US
Telephone Number	:	678-999-3495
Fax Number	:

Authorized Official
Title or Position	:	BUSINESS MANAGER
Name	:	YOON HO KIM
Credential	:
Telephone Number	:	678-999-3495

Provider Enumeration Date	:	07/26/2024
Last Update Date	:	01/21/2026

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Directions to “VODA EYE GROUP, LLC ” Practice Location

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