Provider Demographics
NPI:1487220554
Name:LEZAJ EYE CARE, P.C.
Entity Type:Organization
Organization Name:LEZAJ EYE CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEZAJ
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:770-716-8432
Mailing Address - Street 1:160 PAVILION PKWY
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-4056
Mailing Address - Country:US
Mailing Address - Phone:770-716-8432
Mailing Address - Fax:770-716-5386
Practice Address - Street 1:160 PAVILION PKWY
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-4056
Practice Address - Country:US
Practice Address - Phone:770-716-8432
Practice Address - Fax:770-716-5386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-31
Last Update Date:2021-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty