Provider Demographics
NPI:1831887744
Name:WERNER FAMILY EYECARE
Entity type:Organization
Organization Name:WERNER FAMILY EYECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:WERNER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:770-230-0700
Mailing Address - Street 1:24 PEEKSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:LOCUST GROVE
Mailing Address - State:GA
Mailing Address - Zip Code:30248-3125
Mailing Address - Country:US
Mailing Address - Phone:478-718-3162
Mailing Address - Fax:770-230-0707
Practice Address - Street 1:24 PEEKSVILLE RD
Practice Address - Street 2:
Practice Address - City:LOCUST GROVE
Practice Address - State:GA
Practice Address - Zip Code:30248-3125
Practice Address - Country:US
Practice Address - Phone:770-230-0700
Practice Address - Fax:770-230-0707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-27
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty