Provider Demographics
NPI:1932778206
Name:COMPREHENSIVE EYECARE LLC
Entity Type:Organization
Organization Name:COMPREHENSIVE EYECARE LLC
Other - Org Name:COMPREHENSIVE EYE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:CHELSEA
Authorized Official - Middle Name:
Authorized Official - Last Name:RYZUK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-348-4584
Mailing Address - Street 1:200 MOSAIC CIR
Mailing Address - Street 2:
Mailing Address - City:POOLER
Mailing Address - State:GA
Mailing Address - Zip Code:31322-5025
Mailing Address - Country:US
Mailing Address - Phone:912-348-4584
Mailing Address - Fax:
Practice Address - Street 1:200 MOSAIC CIR
Practice Address - Street 2:
Practice Address - City:POOLER
Practice Address - State:GA
Practice Address - Zip Code:31322-5025
Practice Address - Country:US
Practice Address - Phone:912-348-4584
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-22
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty