Provider Demographics
NPI:1922218692
Name:DNK HEALTHCARE
Entity Type:Organization
Organization Name:DNK HEALTHCARE
Other - Org Name:CONTACTS BY DESIGN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTITIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:MYER
Authorized Official - Suffix:
Authorized Official - Credentials:FCLSA, LDO
Authorized Official - Phone:404-323-2020
Mailing Address - Street 1:25 EQUESTRIAN WAY NE
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30121-8032
Mailing Address - Country:US
Mailing Address - Phone:404-323-2020
Mailing Address - Fax:404-412-2020
Practice Address - Street 1:1995 N PARK PL SE
Practice Address - Street 2:SUITE 310P
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-7801
Practice Address - Country:US
Practice Address - Phone:404-323-2020
Practice Address - Fax:404-412-2020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALDO1683156FC0801X, 156FX1800X
GAGA1683332H00000X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FC0801XEye and Vision Services ProvidersTechnician/TechnologistContact Lens FitterGroup - Multi-Specialty
No156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Multi-Specialty
No332H00000XSuppliersEyewear Supplier
No335E00000XSuppliersProsthetic/Orthotic SupplierGroup - Multi-Specialty