| Dr Lawrence F Brack Iii, MD | |
|
5900 Hillandale Dr, Suite 345, Lithonia, GA 30058-3802 | |
| (770) 987-0733 | |
| (770) 987-3978 |
| Full Name | Dr Lawrence F Brack Iii |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 32 Years |
| Location | 5900 Hillandale Dr, Lithonia, 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 |
|---|---|---|---|
| 1265441315 | NPI | - | NPPES |
| 000898422C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 047403 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emory Specialty Associates, Llc | 3476559782 | 675 |
| Entity Name | The Emory Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
| Entity Name | Emory Specialty Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lawrence F Brack Iii, MD 5900 Hillandale Dr, Suite 345, Lithonia, GA 30058-3802 Ph: (770) 987-0733 | Dr Lawrence F Brack Iii, MD 5900 Hillandale Dr, Suite 345, Lithonia, GA 30058-3802 Ph: (770) 987-0733 |
Dr. Ellen Browne Mitchell, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 6000 Hillandale Dr Ste 130, Lithonia, GA 30058 Phone: 770-981-9010 Fax: 770-593-3461 | |
Sunir Joshi, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 6000 Hillandale Dr Ste 130, Lithonia, GA 30058 Phone: 678-892-2020 Fax: 770-593-3461 | |
Mr. Clifford R Seward, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5900 Hillandale Dr, Suite 345, Lithonia, GA 30058 Phone: 678-990-4480 Fax: 678-990-4481 |