Provider Demographics
NPI:1841566908
Name:BRENDA WEIRICH O.D. & ASSOCIATES, PC
Entity Type:Organization
Organization Name:BRENDA WEIRICH O.D. & ASSOCIATES, PC
Other - Org Name:ALPHARETTA EYE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:WEIRICH
Authorized Official - Last Name:SZIROVECZ
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:770-667-8060
Mailing Address - Street 1:1154 N POINT CIR
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-4855
Mailing Address - Country:US
Mailing Address - Phone:770-667-8060
Mailing Address - Fax:770-667-2024
Practice Address - Street 1:1154 N POINT CIR
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-4855
Practice Address - Country:US
Practice Address - Phone:770-667-8060
Practice Address - Fax:770-667-2024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-22
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAGA1356152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty