Provider Demographics
NPI:1124576798
Name:THOMAS EYE GROUP, PC
Entity Type:Organization
Organization Name:THOMAS EYE GROUP, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:IT DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:SMYTHE
Authorized Official - Last Name:DUVAL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:678-781-7308
Mailing Address - Street 1:5901 PEACHTREE DUNWOODY RD
Mailing Address - Street 2:SUITE A-500
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-5382
Mailing Address - Country:US
Mailing Address - Phone:678-892-2020
Mailing Address - Fax:
Practice Address - Street 1:5901 PEACHTREE DUNWOODY RD
Practice Address - Street 2:SUITE A-500
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-5382
Practice Address - Country:US
Practice Address - Phone:678-892-2020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-13
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty