Peachtree Corners Eye Clinic

NPI #1164772042 in Norcross, Georgia

Provider Information

NPI Number: 1164772042
Entity Type: Organization
Organization Name: Peachtree Corners Eye Clinic
Subpart: Yes (part of a larger organization)
Parent Organization: PEACHTREE CORNERS EYE CLINIC
Primary Specialty: Optometrist
Enumeration Date: Sep 18, 2012
Last Updated: Sep 18, 2012

Practice Location

Address: 4045 WETHERBURN WAY
Address 2: SUITE
City: Norcross
State: Georgia
ZIP Code: 30092-4661
Phone: (770) 441-1211

Authorized Official

Name: RICHARD J SHUSTER, O.D.
Title: OWNER
Phone: (770) 441-1211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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