Provider Demographics
NPI:1063391407
Name:EYE ON GENETICS
Entity type:Organization
Organization Name:EYE ON GENETICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCLUSKEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-431-5929
Mailing Address - Street 1:3516 WOODHAVEN RD NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-1011
Mailing Address - Country:US
Mailing Address - Phone:404-431-5929
Mailing Address - Fax:
Practice Address - Street 1:3516 WOODHAVEN RD NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-1011
Practice Address - Country:US
Practice Address - Phone:404-431-5929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QG0250XAmbulatory Health Care FacilitiesClinic/CenterGenetics
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty