Gwinnett Pediatric & Adult Eye Center

NPI #1578210589 in Suwanee, Georgia

Provider Information

NPI Number: 1578210589
Entity Type: Organization
Organization Name: Gwinnett Pediatric & Adult Eye Center
Primary Specialty: Optometrist
Enumeration Date: Mar 9, 2022
Last Updated: Oct 4, 2023

Practice Location

Address: 1300 PEACHTREE INDUSTRIAL BLVD STE 1206
City: Suwanee
State: Georgia
ZIP Code: 30024-4550
Phone: (334) 318-0713

Authorized Official

Name: SHUNDALE THOMAS MIXON
Title: OWNER/OD
Phone: (770) 783-2162

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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