Provider Demographics
NPI:1720188592
Name:MAYS & VALLE, P.C.
Entity Type:Organization
Organization Name:MAYS & VALLE, P.C.
Other - Org Name:TRUEVISION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:MAYS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:770-529-7789
Mailing Address - Street 1:6110 CEDARCREST RD NW
Mailing Address - Street 2:SUITE 210
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-9539
Mailing Address - Country:US
Mailing Address - Phone:770-529-7789
Mailing Address - Fax:770-529-7791
Practice Address - Street 1:6110 CEDARCREST RD NW
Practice Address - Street 2:SUITE 210
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-9539
Practice Address - Country:US
Practice Address - Phone:770-529-7789
Practice Address - Fax:770-529-7791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1342152W00000X
GA1298152W00000X
GA1358152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA41ZCFZXMedicare ID - Type Unspecified
GAU43731Medicare UPIN
GA41ZCFZWMedicare ID - Type Unspecified
GAU35542Medicare UPIN
GAU34515Medicare UPIN
GA41ZCFZVMedicare ID - Type Unspecified