Provider Demographics
NPI:1215611546
Name:PERIMETER VISION CARE, LLC
Entity type:Organization
Organization Name:PERIMETER VISION CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:ANASTASIADES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-727-0772
Mailing Address - Street 1:200 ASHFORD CTR N STE 305
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30338-2682
Mailing Address - Country:US
Mailing Address - Phone:770-727-0772
Mailing Address - Fax:770-766-1117
Practice Address - Street 1:4800 BRIARCLIFF RD NE # 1173
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30345-2743
Practice Address - Country:US
Practice Address - Phone:770-727-0772
Practice Address - Fax:770-766-1117
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PERIMETER VISION CARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty