| Gwinnett Pediatric & Adult Eye Center | |
|
1300 Peachtree Industrial Blvd Ste 1206, Suwanee, GA 30024-4550 | |
| (334) 318-0713 | |
| Not Available |
| Full Name | Gwinnett Pediatric & Adult Eye Center |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1300 Peachtree Industrial Blvd Ste 1206, Suwanee, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578210589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Shundale Thomas Mixon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013403088 PECOS PAC ID: 9537402367 Enrollment ID: I20190520001460 |
| Mailing Address | Practice Location Address |
|---|---|
| Gwinnett Pediatric & Adult Eye Center 1300 Peachtree Industrial Blvd Ste 1206, Suwanee, GA 30024-4550 Ph: (770) 783-2162 | Gwinnett Pediatric & Adult Eye Center 1300 Peachtree Industrial Blvd Ste 1206, Suwanee, GA 30024-4550 Ph: (334) 318-0713 |
Shundale Thomas Mixon, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1300 Peachtree Industrial Blvd Ste 1206, Suwanee, GA 30024 Phone: 334-318-0713 | |
John J Gallagher, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4320 Suwanee Dam Rd., Suite 2100, Suwanee, GA 30024 Phone: 770-614-8577 Fax: 770-614-8509 | |
Morningstar M&w, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 690 Rosebury Ln, Suwanee, GA 30024 Phone: 404-939-6008 | |
Richard L Heggeland, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1000 Peachtree Industrial Blvd Ste 14, Suwanee, GA 30024 Phone: 770-271-0611 Fax: 770-271-5525 | |
Eyelogic, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 1295 Old Peachtree Rd Nw Ste 160, Suwanee, GA 30024 Phone: 770-545-8401 | |
Myeyedr Optometry Of Georgia, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1000 Peachtree Industrial Blvd, Suwanee, GA 30024 Phone: 770-271-0611 | |
Scott T Emely, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4330 Johns Creek Pkwy, Suite 300, Suwanee, GA 30024 Phone: 770-232-7844 Fax: 770-232-9455 |