| Bolt Eye Group - Riverdale, Llc | |
|
131 Upper Riverdale Rd Sw, Riverdale, GA 30274-2540 | |
| (770) 994-9913 | |
| Not Available |
| Full Name | Bolt Eye Group - Riverdale, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 131 Upper Riverdale Rd Sw, Riverdale, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588378632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Duy Hoang Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801562715 PECOS PAC ID: 3779972617 Enrollment ID: I20220119001472 |
| Mailing Address | Practice Location Address |
|---|---|
| Bolt Eye Group - Riverdale, Llc 4180 Old Milton Pkwy Ste 1d, Alpharetta, GA 30005-2408 Ph: (770) 776-9000 | Bolt Eye Group - Riverdale, Llc 131 Upper Riverdale Rd Sw, Riverdale, GA 30274-2540 Ph: (770) 994-9913 |
Niketha Ajodha, Optometrist Medicare: Medicare Enrolled Practice Location: 7050 Highway 85, Riverdale, GA 30274 Phone: 770-994-1670 | |
Came Home Seeing Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7050 Highway 85, Riverdale, GA 30274 Phone: 470-693-8184 | |
Fred Osaretin Osayi, OD Optometrist Medicare: Medicare Enrolled Practice Location: 7583 Highway 85, Riverdale, GA 30274 Phone: 770-996-3495 | |
Dr. Haley Penrod, OD Optometrist Medicare: Medicare Enrolled Practice Location: 131 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 770-994-9913 |