Nevus Eye LLC
NPI #1851110811 in Alpharetta, Georgia
Provider Information
- NPI Number
- 1851110811
- Entity Type
- Organization
- Organization Name
- Nevus Eye LLC
- Primary Specialty
- Optometrist
- Enumeration Date
- Oct 7, 2024
- Last Updated
- Oct 7, 2024
Practice Location
- Address
- 2855 JORDAN CT
- City
- Alpharetta
- State
- Georgia
- ZIP Code
- 30004-3869
- Phone
- (724) 799-1387
Authorized Official
- Name
- DERRICK BADARACCO, OD
- Title
- OWNER/OD
- Phone
- (724) 799-1387
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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