MEDICARE: BUCKHEAD VISION INC

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	152WC0802X	Corneal and Contact Management Optometrist
2	152W00000X	Optometrist

General Provider Information

NPI Number	:	1902190739
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUCKHEAD VISION INC

Provider Business Mailing Address
First Line	:	4746 LEGACY COVE LN
Second Line	:
City	:	MABLETON
State	:	GA
Zip	:	30126-2579
Country	:	US
Telephone Number	:	770-438-0202
Fax Number	:	770-438-5033

Provider Business Practice Location Address
First Line	:	2900 PEACHTREE RD NW
Second Line	:	SUITE 301
City	:	ATLANTA
State	:	GA
Zip	:	30305-4915
Country	:	US
Telephone Number	:	404-869-5551
Fax Number	:	404-869-5181

Authorized Official
Title or Position	:	V.P.
Name	:	DR. JAE CHOI
Credential	:
Telephone Number	:	404-869-5551

Provider Enumeration Date	:	06/09/2011
Last Update Date	:	06/09/2011

Similar Medicare Providers

1922109644 — DR. STEVEN JAMES WINGFIELD DMD
Practice Location Address:

2900 PEACHTREE RD NW , SUITE 209
ATLANTA, GA
30305-4915

Practice Phone: 404-261-0909
Practice Fax:

1003960055 — IVY C GOOLSBY ARNP
Practice Location Address:

2900 PEACHTREE RD NW
ATLANTA, GA
30305-4915

Practice Phone: 404-424-0027
Practice Fax: 404-424-0028

1063665792 — ALLPERE ENTERPRISES BUCKHEAD INC
Practice Location Address:

2900 PEACHTREE RD NW , SUITE 207
ATLANTA, GA
30305-4915

Practice Phone: 404-231-2324
Practice Fax: 404-231-1817

1174757090 — PEACH OPTICS
Practice Location Address:

2900 PEACHTREE RD NW , SUITE#301
ATLANTA, GA
30305-4915

Practice Phone: 404-869-5551
Practice Fax: 404-869-5181

1609170158 — BUCKHEAD SMILE CENTER, P.C.
Practice Location Address:

2900 PEACHTREE RD NW , SUITE 209
ATLANTA, GA
30305-4915

Practice Phone: 404-261-0909
Practice Fax:

1861739799 — MARK ALLEN ORLANDO
Practice Location Address:

2900 PEACHTREE RD NW
ATLANTA, GA
30305-4915

Practice Phone: 404-848-0336
Practice Fax:

Directions to “BUCKHEAD VISION INC ” 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 © 2007-2026 (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.