Look up the most recent NPI and PECOS records

Precision Eyecare Llc

Optometrist

Eye and Vision Services Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Precision Eyecare Llc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 11 days ago.

Profile Details

Provider ID
1285892935
Provider Type
Organization
Full Name
Precision Eyecare Llc

Subpart
No
Enumeration Date
5/29/2008
Last Updated
6/9/2010

Contact Information

Practice Location

1409 Sixes Road, Canton, GA 30114

(770) 852-2733

Unlisted Fax

Mailing Location

1409 Sixes Road, Canton, GA 30114

(770) 852-2733

Unlisted Fax

Authorized Official

Furey, Edward Joseph (Owner)

(770) 852-2733

Provider Taxonomies

Code	Description	License
Code 152W00000X Primary	Description Optometrist Eye and Vision Services Providers	License OPT001384 Georgia

Provider Identifiers

ID	Description	Issuer
ID 41ZCFGW	Description Other	Issuer PROVIDER ID # Georgia
ID DP3639	Description Other	Issuer MEDICARE RAILROAD Georgia

Precision Eyecare Llc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

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Ahmad, Maida Imtiaz

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Gamba, Rafael Antonio

Patel, Vishal Sanjay

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