Provider Demographics
NPI:1386005197
Name:EYE ASSOCIATES OF NORTH ATLANTA LLC
Entity Type:Organization
Organization Name:EYE ASSOCIATES OF NORTH ATLANTA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANAND
Authorized Official - Middle Name:K
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:706-389-5060
Mailing Address - Street 1:5755 N POINT PKWY
Mailing Address - Street 2:STE 94
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-1150
Mailing Address - Country:US
Mailing Address - Phone:470-767-8287
Mailing Address - Fax:470-349-7674
Practice Address - Street 1:5755 N POINT PKWY
Practice Address - Street 2:STE 94
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-1150
Practice Address - Country:US
Practice Address - Phone:470-767-8287
Practice Address - Fax:470-349-7674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-08
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA063220207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty