Provider Demographics
NPI:1114351046
Name:DR. JULIUS N. SKEETE & ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:DR. JULIUS N. SKEETE & ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIUS
Authorized Official - Middle Name:NATHANIEL
Authorized Official - Last Name:SKEETE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:770-623-8564
Mailing Address - Street 1:5151 PEACHTREE PARKWAY
Mailing Address - Street 2:SUITE 700
Mailing Address - City:PEACHTREE CORNERS
Mailing Address - State:GA
Mailing Address - Zip Code:30092
Mailing Address - Country:US
Mailing Address - Phone:770-623-8564
Mailing Address - Fax:770-441-1237
Practice Address - Street 1:5151 PEACHTREE PARKWAY
Practice Address - Street 2:SUITE 700
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30092
Practice Address - Country:US
Practice Address - Phone:770-623-8564
Practice Address - Fax:770-441-1237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-28
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOPT 001589152W00000X
GA001589152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty