Provider Demographics
NPI:1306667928
Name:LANIER FAMILY EYECARE LLC
Entity type:Organization
Organization Name:LANIER FAMILY EYECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:H
Authorized Official - Last Name:OIFER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:678-468-2355
Mailing Address - Street 1:3480 KEITH BRIDGE RD STE A5
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-5569
Mailing Address - Country:US
Mailing Address - Phone:470-533-2980
Mailing Address - Fax:470-695-4059
Practice Address - Street 1:3480 KEITH BRIDGE RD STE A5
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-5569
Practice Address - Country:US
Practice Address - Phone:470-533-2980
Practice Address - Fax:470-695-4059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty