Basic Information
Provider Information
NPI: 1225209737
EntityType: 2
ReplacementNPI:  
OrganizationName: AMERICA'S BEST CONTACTS & EYEGLASSES
LastName:  
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Mailing Information
Address1: 296 GRAYSON HWY
Address2:  
City: LAWRENCEVILLE
State: GA
PostalCode: 300455737
CountryCode: US
TelephoneNumber: 7708223600
FaxNumber:  
Practice Location
Address1: 3461 E CAUSEWAY APPROACH
Address2:  
City: MANDEVILLE
State: LA
PostalCode: 704483447
CountryCode: US
TelephoneNumber: 9853771021
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/13/2008
LastUpdateDate: 09/09/2008
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: EDICK
AuthorizedOfficialFirstName: SUE
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AuthorizedOfficialTitleorPosition: PROF. SVC. ASST.
AuthorizedOfficialTelephone: 6788923774
IsSoleProprietor:  
IsOrganizationSubpart: Y
ParentOrganizationLBN: NATIONAL VISION, INC.
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Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
156FX1800X  Y193400000X SINGLE SPECIALTY GROUPEye and Vision Services ProvidersTechnician/TechnologistOptician

No ID Information.


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