Provider Demographics
NPI:1972533859
Name:APEX EYECARE, LLC
Entity type:Organization
Organization Name:APEX EYECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:
Authorized Official - Last Name:ESEKHEIGBE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:770-972-2250
Mailing Address - Street 1:5724 SOUTHLAND WALK
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30087-5291
Mailing Address - Country:US
Mailing Address - Phone:770-972-2250
Mailing Address - Fax:770-972-0678
Practice Address - Street 1:3435 CENTERVILLE HWY
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30039-6117
Practice Address - Country:US
Practice Address - Phone:770-972-2250
Practice Address - Fax:770-972-0678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOPT002117152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty