Provider Demographics
NPI:1043787005
Name:SYLVAIN EYE CARE PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:SYLVAIN EYE CARE PROFESSIONAL CORPORATION
Other - Org Name:SYLVAIN EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BRYTTANI
Authorized Official - Middle Name:R
Authorized Official - Last Name:SYLVAIN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:404-241-6500
Mailing Address - Street 1:2434 GRESHAM RD SE STE C
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30316-4130
Mailing Address - Country:US
Mailing Address - Phone:813-850-7280
Mailing Address - Fax:404-529-4262
Practice Address - Street 1:2434 GRESHAM RD SE STE C
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30316-4130
Practice Address - Country:US
Practice Address - Phone:404-241-6500
Practice Address - Fax:404-529-4262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-29
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty