Dr Justin Daniel Needham, MD | |
1995 Mall Of Georgia Blvd Ste A, Buford, GA 30519 | |
(678) 381-2020 | |
(678) 381-2015 |
Full Name | Dr Justin Daniel Needham |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 17 Years |
Location | 1995 Mall Of Georgia Blvd Ste A, Buford, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699923516 | NPI | - | NPPES |
UPIN: VAD000 | Other | UPIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 24771 (Nebraska) | Secondary |
208D00000X | General Practice | 24771 (Nebraska) | Secondary |
207W00000X | Ophthalmology | 79768 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Milan Eye Llc | 2668519109 | 20 |
Entity Name | Milan Eye Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932332459 PECOS PAC ID: 2668519109 Enrollment ID: O20091102000330 |
Entity Name | Buford Eye Surgery Center |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1609285386 PECOS PAC ID: 2365765385 Enrollment ID: O20141224001378 |
Entity Name | Snellville Eye Surgery Center, Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1336614866 PECOS PAC ID: 9335488824 Enrollment ID: O20190227002520 |
Mailing Address | Practice Location Address |
---|---|
Dr Justin Daniel Needham, MD 1300 Peachtree Industrial Blvd Ste 1201, Suwanee, GA 30024-4550 Ph: (678) 381-2020 | Dr Justin Daniel Needham, MD 1995 Mall Of Georgia Blvd Ste A, Buford, GA 30519 Ph: (678) 381-2020 |
Manuel John Chaknis, Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1995 Mall Of Georgia Blvd Ste A, Buford, GA 30519 Phone: 678-381-2020 Fax: 678-381-2015 | |
Dr. Philip Stephen Garza, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1995 Mall Of Georgia Blvd Ste A, Buford, GA 30519 Phone: 678-381-2020 Fax: 678-381-2015 | |
Niraj Rama Nathan, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1995 Mall Of Georgia Blvd Ste A, Buford, GA 30519 Phone: 678-381-2020 |