| Hazel Family Eyecare | |
|
930 Marietta Hwy Ste 400, Roswell, GA 30075-6754 | |
| (770) 998-3937 | |
| (770) 783-5066 |
| Full Name | Hazel Family Eyecare |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 930 Marietta Hwy Ste 400, Roswell, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184851800 | NPI | - | NPPES |
| 349274885A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT002415 (Georgia) | Primary |
| Provider Name | Tara L Fowler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235398975 PECOS PAC ID: 9436218799 Enrollment ID: I20081103000006 |
| Provider Name | Nazanin Khadem Thomas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437568243 PECOS PAC ID: 7416271762 Enrollment ID: I20150115001453 |
| Provider Name | Niketha Ajodha |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508147612 PECOS PAC ID: 5799079927 Enrollment ID: I20180917001878 |
| Mailing Address | Practice Location Address |
|---|---|
| Hazel Family Eyecare 930 Marietta Hwy Ste 400, Roswell, GA 30075-6754 Ph: (770) 998-3937 | Hazel Family Eyecare 930 Marietta Hwy Ste 400, Roswell, GA 30075-6754 Ph: (770) 998-3937 |
Family First Vision Care Georgia Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10775 Alpharetta Hwy, Roswell, GA 30076 Phone: 770-998-9656 | |
Lisa June Chen, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1135 Woodstock Rd, Roswell, GA 30075 Phone: 404-218-8473 | |
Roswell Eye Clinic,inc Optometrist Medicare: Medicare Enrolled Practice Location: 1190 Grimes Bridge Rd, Roswell, GA 30075 Phone: 770-992-7620 Fax: 770-992-8262 | |
Dr. David Brian Winner, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2300 Holcomb Bridge Rd, 306, Roswell, GA 30076 Phone: 678-722-3937 Fax: 678-722-2020 | |
Dr. Carly Jean Kiomall, OD, MPH Optometrist Medicare: Medicare Enrolled Practice Location: 11690 Alpharetta Hwy, Roswell, GA 30076 Phone: 770-475-5515 | |
Dr. Sharon Berger-moscow, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1190 Grimes Bridge Rd, Roswell, GA 30075 Phone: 770-992-7620 Fax: 770-992-8262 | |
Dr. William Moscow, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1190 Grimes Bridge Rd, Roswell, GA 30075 Phone: 770-992-7620 Fax: 770-992-8262 |