Provider Demographics
NPI:1467694323
Name:EYE M EID INC
Entity Type:Organization
Organization Name:EYE M EID INC
Other - Org Name:IMAGEPLUS INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:EID
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:678-240-0031
Mailing Address - Street 1:4895 WINDWARD PKWY
Mailing Address - Street 2:SUITE 202
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-3850
Mailing Address - Country:US
Mailing Address - Phone:678-240-0031
Mailing Address - Fax:678-240-0455
Practice Address - Street 1:4895 WINDWARD PKWY
Practice Address - Street 2:SUITE 202
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-3850
Practice Address - Country:US
Practice Address - Phone:678-240-0031
Practice Address - Fax:678-240-0455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-24
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOPT002360152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty