| Optica Latina, Llc | |
|
4485 Lawrenceville Hwy Nw, Suite 206, Lilburn, GA 30047-3669 | |
| (770) 674-1712 | |
| (770) 687-2921 |
| Full Name | Optica Latina, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 4485 Lawrenceville Hwy Nw, Lilburn, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992042972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT002681 (Georgia) | Primary |
| 156FX1800X | Technician/technologist - Optician | LDO001948 (Georgia) | Secondary |
| Provider Name | Mary R Coello |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679845739 PECOS PAC ID: 2668618752 Enrollment ID: I20131218001201 |
| Mailing Address | Practice Location Address |
|---|---|
| Optica Latina, Llc 4485 Lawrenceville Hwy Nw, Suite 206, Lilburn, GA 30047-3669 Ph: (770) 674-1712 | Optica Latina, Llc 4485 Lawrenceville Hwy Nw, Suite 206, Lilburn, GA 30047-3669 Ph: (770) 674-1712 |
Dr. Michael R Barnett, OD Optometrist Medicare: Medicare Enrolled Practice Location: 4319 A Lawrenceville Hwy, Lilburn Eyecare, Lilburn, GA 30047 Phone: 770-921-4707 Fax: 770-925-8973 | |
Mrs. Boski Rohitkumar Amin, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4574 Lawrenceville Hwy Nw Ste 201, Lilburn, GA 30047 Phone: 770-381-6706 Fax: 770-921-7653 | |
Drs. Barnett, Andersen, & Associates, Optometrist, P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4319 Lawrenceville Hwy Nw, Lilburn, GA 30047 Phone: 770-921-4707 Fax: 770-925-8973 | |
Dr. Joseph Leif Andersen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4319 Lawrenceville Hwy Nw, Lilburn, GA 30047 Phone: 770-921-4707 Fax: 770-925-8973 | |
Dr. Meron Fantahun, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4153 Lawrenceville Hwy Nw Ste 5, Lilburn, GA 30047 Phone: 770-921-4707 | |
Lubna Ali, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4153 Lawrenceville Hwy Nw Ste 5, Lilburn, GA 30047 Phone: 770-921-4707 | |
Joel Rogol, OD Optometrist Medicare: Medicare Enrolled Practice Location: 4030 Lawrenceville Hwy Nw, Lilburn, GA 30047 Phone: 770-806-8471 Fax: 404-378-2681 |