| Dr Tiffany D Brown, OD | |
|
2427 Gresham Rd Se, Atlanta, GA 30316-3709 | |
| (770) 743-6971 | |
| (678) 490-8224 |
| Full Name | Dr Tiffany D Brown |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 2427 Gresham Rd Se, Atlanta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023201555 | NPI | - | NPPES |
| 202I417335 | Other | MEDICARE PROVIDER TRANSACTION ACCESS NUMBER | |
| 08786318 | Medicaid | MS | |
| 1014982 | Medicaid | LA | |
| 003126245A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1547 576T (Louisiana) | Secondary |
| 152W00000X | Optometrist | 2395 (Georgia) | Primary |
| Provider Name | Jason Wonch, O.d. And Associates, A.p.c. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1295769008 PECOS PAC ID: 8426040940 Enrollment ID: O20040402000193 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tiffany D Brown, OD 4480h S Cobb Dr Se Ste 124, Smyrna, GA 30080-6958 Ph: (770) 743-6971 | Dr Tiffany D Brown, OD 2427 Gresham Rd Se, Atlanta, GA 30316-3709 Ph: (770) 743-6971 |
Optique Pcm Optometrist Medicare: Not Enrolled in Medicare Practice Location: 650 North Ave Ne, Suite S103, Atlanta, GA 30308 Phone: 404-875-2766 | |
P&d Family, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 860 Peachtree St Ne, Suite F, Atlanta, GA 30308 Phone: 404-853-5008 Fax: 404-853-5009 | |
Myeyedr Optometry Of Georgia, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3872 Roswell Rd Ne Ste A4, Atlanta, GA 30342 Phone: 404-927-8194 Fax: 404-835-8339 | |
Star Optometry Ga Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 870 Inman Village Pkwy Ne Ste 3, Atlanta, GA 30307 Phone: 678-648-5185 | |
Reema Gosalia, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2900 Peachtree Rd Nw Ste 301, Atlanta, GA 30305 Phone: 404-869-5551 Fax: 404-869-5181 | |
Joshua Kent Johnston, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree St Ne Ste 1500, Atlanta, GA 30308 Phone: 404-897-6810 Fax: 404-829-1319 |