Provider Demographics
NPI:1225234594
Name:PIEDMONT BETTER VISION
Entity Type:Organization
Organization Name:PIEDMONT BETTER VISION
Other - Org Name:SAME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:RODECKER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:404-351-2220
Mailing Address - Street 1:3193 HOWELL MILL RD NW
Mailing Address - Street 2:SUITE 135
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-2119
Mailing Address - Country:US
Mailing Address - Phone:404-350-1426
Mailing Address - Fax:404-350-1429
Practice Address - Street 1:3193 HOWELL MILL RD NW
Practice Address - Street 2:SUITE 135
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30327-2119
Practice Address - Country:US
Practice Address - Phone:404-350-1426
Practice Address - Fax:404-350-1429
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty