Provider Demographics
NPI:1235704651
Name:ARNAND COMPREHENSIVE EYE CARE LLC
Entity Type:Organization
Organization Name:ARNAND COMPREHENSIVE EYE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RUSSELL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:336-703-8865
Mailing Address - Street 1:1415 HIGHWAY 85N STE 310 #643
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214
Mailing Address - Country:US
Mailing Address - Phone:336-703-8865
Mailing Address - Fax:
Practice Address - Street 1:7325 JONESBORO RD
Practice Address - Street 2:
Practice Address - City:MORROW
Practice Address - State:GA
Practice Address - Zip Code:30260-2950
Practice Address - Country:US
Practice Address - Phone:770-960-8228
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-26
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care