Provider Demographics
NPI:1457817140
Name:CUMMING VISION CARE, PC
Entity Type:Organization
Organization Name:CUMMING VISION CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TERI
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:404-788-5880
Mailing Address - Street 1:401 WINDSOR MANOR CT
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097-5992
Mailing Address - Country:US
Mailing Address - Phone:404-308-4864
Mailing Address - Fax:
Practice Address - Street 1:410 PEACHTREE PKWY STE 220
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-7098
Practice Address - Country:US
Practice Address - Phone:770-887-6579
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-18
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty