Provider Demographics
NPI:1790212934
Name:LENOX VISION CARE, LLC
Entity Type:Organization
Organization Name:LENOX VISION CARE, LLC
Other - Org Name:ATLANTA EYE GROUP - LENOX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CMO, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANISHA
Authorized Official - Middle Name:E
Authorized Official - Last Name:HAJI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
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 1:3393 PEACHTREE RD NE STE B128
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-1197
Practice Address - Country:US
Practice Address - Phone:404-816-1604
Practice Address - Fax:404-816-8574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-18
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA12793431OtherCAQH