Provider Demographics
NPI:1679710552
Name:WINDWARD EYE CARE, INC.
Entity Type:Organization
Organization Name:WINDWARD EYE CARE, INC.
Other - Org Name:ALPHARETTA EYE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:AREY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:770-475-1777
Mailing Address - Street 1:2725 OLD MILTON PARKWAY
Mailing Address - Street 2:SUITE B
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009
Mailing Address - Country:US
Mailing Address - Phone:770-475-1777
Mailing Address - Fax:
Practice Address - Street 1:2725 OLD MILTON PARKWAY
Practice Address - Street 2:SUITE B
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009
Practice Address - Country:US
Practice Address - Phone:770-475-1777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WINDWARD EYE CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-01-14
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty