Provider Demographics
NPI:1568459881
Name:NORTH FULTON EYE CENTER
Entity Type:Organization
Organization Name:NORTH FULTON EYE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:E
Authorized Official - Last Name:PARE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-475-0123
Mailing Address - Street 1:1355 HEMBREE RD
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-3816
Mailing Address - Country:US
Mailing Address - Phone:770-475-0123
Mailing Address - Fax:770-442-9526
Practice Address - Street 1:1355 HEMBREE RD
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-3816
Practice Address - Country:US
Practice Address - Phone:770-475-0123
Practice Address - Fax:770-442-9526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-03
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA022750207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty