| Bryan Thiel, | |
|
895 Canton Rd Ne, Marietta, GA 30060-8934 | |
| (770) 427-8111 | |
| Not Available |
| Full Name | Bryan Thiel |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 895 Canton Rd Ne, Marietta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356845556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 74323-20 (Wisconsin) | Secondary |
| 207W00000X | Ophthalmology | 93305 (Georgia) | Primary |
| Entity Name | Marietta Eye Clinic, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255333175 PECOS PAC ID: 0143210427 Enrollment ID: O20040518000057 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Thiel, 5000 W Chambers St, Milwaukee, WI 53210-1650 Ph: (414) 447-2195 | Bryan Thiel, 895 Canton Rd Ne, Marietta, GA 30060-8934 Ph: (770) 427-8111 |
Howard E Borger, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 355 Tower Rd Ne, Suite 100, Marietta, GA 30060 Phone: 770-424-5669 Fax: 770-424-8454 | |
Dr. Puneet Panda, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 895 Canton Rd Ne, Bldg 100, Marietta, GA 30060 Phone: 770-427-8111 Fax: 678-951-0418 | |
Christopher M Weltz, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 355 Tower Rd Ne Ste 100, Marietta, GA 30060 Phone: 770-424-5669 Fax: 770-424-8454 | |
Marc F Greenberg, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 355 Tower Rd Ne Ste 102, Marietta, GA 30060 Phone: 770-422-4055 Fax: 770-528-6977 | |
Dr. Veena Danthuluri, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 355 Tower Rd Ne Ste 100, Marietta, GA 30060 Phone: 404-351-2220 Fax: 770-424-8454 | |
Alan L Benedict, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 653 Cherokee St Ne, Marietta, GA 30060 Phone: 770-419-1393 Fax: 770-419-8188 | |
Dr. Amy Marie Cherof, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 895 Canton Rd Ne, Bldg 100, Marietta, GA 30060 Phone: 770-427-8111 Fax: 678-951-0418 |