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	:	1407043052
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	:	30045-5737
Country	:	US
Telephone Number	:	770-822-3600
Fax Number	:

Provider Business Practice Location Address
First Line	:	615 W ROOSEVELT RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-4911
Country	:	US
Telephone Number	:	312-379-0991
Fax Number	:

Authorized Official
Title or Position	:	MANAGER, PROVIDER RELATIONS
Name	:	ANNA PURCELL
Credential	:
Telephone Number	:	770-822-4245

Provider Enumeration Date	:	09/27/2007
Last Update Date	:	09/27/2007

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