Provider Demographics
NPI:1659920726
Name:PRITCHETT EYE CARE LLC
Entity Type:Organization
Organization Name:PRITCHETT EYE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EVAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PRITCHETT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:678-393-9445
Mailing Address - Street 1:3005 OLD ALABAMA RD STE 300
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30022-1904
Mailing Address - Country:US
Mailing Address - Phone:678-393-9445
Mailing Address - Fax:
Practice Address - Street 1:3005 OLD ALABAMA RD STE 300
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30022-1904
Practice Address - Country:US
Practice Address - Phone:678-393-9445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-10
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty