Provider Demographics
NPI:1487224150
Name:ALPHARETTA VISION CARE, LLC
Entity Type:Organization
Organization Name:ALPHARETTA VISION CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CMO
Authorized Official - Prefix:DR
Authorized Official - First Name:ANISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-725-6171
Mailing Address - Street 1:200 ASHFORD CTR N STE 305
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30338-2682
Mailing Address - Country:US
Mailing Address - Phone:770-727-0772
Mailing Address - Fax:770-766-1117
Practice Address - Street 1:1154 N POINT CIR
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-4855
Practice Address - Country:US
Practice Address - Phone:770-727-0772
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-25
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty