MEDICARE: TRENTON GAASCH O.D.

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	3309	TN
2	152W00000X	Optometrist	OPT003548	GA

General Provider Information

NPI Number	:	1710338025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRENTON GAASCH O.D.

Provider Business Mailing Address
First Line	:	1365 CLIFTON RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30322-1013
Country	:	US
Telephone Number	:	404-778-5163
Fax Number	:

Provider Business Practice Location Address
First Line	:	1365 CLIFTON RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30322-5700
Country	:	US
Telephone Number	:	931-237-7011
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2016
Last Update Date	:	02/16/2024

Similar Medicare Providers

1992668651 — DR. KAITLIN C GRAVES PT, DPT
Practice Location Address:

2810 PACES FERRY RD SE STE 132
ATLANTA, GA
30339-5700

Practice Phone: 470-531-1180
Practice Fax:

1104302058 — JANA CASHEN NP
Practice Location Address:

2831 SILVER HILL TER SE
ATLANTA, GA
30316-5700

Practice Phone: 785-317-2669
Practice Fax:

1942821418 — MARVANISHA Y WASHINGTON
Practice Location Address:

1903 PHOENIX BLVD STE 200
ATLANTA, GA
30349-5700

Practice Phone: 678-335-9010
Practice Fax:

1952037996 — ILYA LASHENKO PT, DPT
Practice Location Address:

2810 PACES FERRY RD SE STE 132
ATLANTA, GA
30339-5700

Practice Phone: 470-531-1180
Practice Fax:

1255205621 — WELLSTREET OF GEORGIA PC
Practice Location Address:

2810 PACES FERRY RD SE STE 156
ATLANTA, GA
30339-5700

Practice Phone: 470-750-1301
Practice Fax: 470-750-1302

1669341061 — MRS. ROSEMARIE HUGGINS RN
Practice Location Address:

1903 PHOENIX BLVD STE 200
ATLANTA, GA
30349-5700

Practice Phone: 678-335-9010
Practice Fax:

Directions to “ TRENTON GAASCH O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.