| Purevue Vision Care, Llc | |
|
6050 Peachtree Parkway Suite 210 Norcross GA 30092 | |
| (678) 557-1860 | |
| Not Available |
| Full Name | Purevue Vision Care, Llc |
|---|---|
| Speciality | Optometrist |
| Location | 6050 Peachtree Parkway, Norcross, Georgia |
| Authorized Official Name and Position | Nhat Anh Thi Ho (MANAGER) |
| Authorized Official Contact | 7709034555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Purevue Vision Care, Llc 6035 Peachtree Pkwy Ste A Peachtree Corners GA 30092-3369 Ph: (770) 903-4555 | Purevue Vision Care, Llc 6050 Peachtree Parkway Suite 210 Norcross GA 30092 Ph: (678) 557-1860 |
| NPI Number | 1821347907 |
|---|---|
| Provider Enumeration Date | 09/05/2012 |
| Last Update Date | 02/03/2025 |
| Medicare PECOS PAC ID | 3375795651 |
|---|---|
| Medicare Enrollment ID | O20121213000084 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821347907 | NPI | - | NPPES |
| #003114597C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 152W00000X | Optometrist | OPT002172 (Georgia) | Primary |
| Provider Name | Nhat Anh T Ho |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336123868 PECOS PAC ID: 9638321912 Enrollment ID: I20121213000099 |
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