Provider Demographics
NPI:1598594657
Name:MERRITT EYE CARE AND ASSOCIATES
Entity type:Organization
Organization Name:MERRITT EYE CARE AND ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:
Authorized Official - Last Name:MERRITT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:404-538-2232
Mailing Address - Street 1:1875 HARRISON CT NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30329-2764
Mailing Address - Country:US
Mailing Address - Phone:404-325-2022
Mailing Address - Fax:404-325-2831
Practice Address - Street 1:2901 CLAIRMONT RD NE
Practice Address - Street 2:
Practice Address - City:BROOKHAVEN
Practice Address - State:GA
Practice Address - Zip Code:30329-1639
Practice Address - Country:US
Practice Address - Phone:404-538-2232
Practice Address - Fax:404-325-2831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-29
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty