| Dr J Heaven, Pc | |
|
5653 Buford Hwy Ne, Doraville, GA 30340-1200 | |
| (770) 396-2969 | |
| Not Available |
| Full Name | Dr J Heaven, Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 5653 Buford Hwy Ne, Doraville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780731950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1780 (Georgia) | Primary |
| Provider Name | Jason M Heaven |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285703348 PECOS PAC ID: 9335137108 Enrollment ID: I20040503000468 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr J Heaven, Pc 5653 Buford Hwy Ne, Doraville, GA 30340-1200 Ph: () - | Dr J Heaven, Pc 5653 Buford Hwy Ne, Doraville, GA 30340-1200 Ph: (770) 396-2969 |
Kemeng Wang, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5150 Buford Hwy Ne Ste A100a, Doraville, GA 30340 Phone: 770-234-9249 | |
Jason Marc Heaven, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5653 Buford Hwy Ne, Doraville, GA 30340 Phone: 770-396-2969 | |
T.j. Vision Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5150 Buford Hwy Ne Ste D120, Doraville, GA 30340 Phone: 770-234-9249 Fax: 770-234-0306 | |
Dr. Lester Drezek, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5141 Buford Hwy, Doraville, GA 30340 Phone: 770-452-8959 |