Provider Demographics
NPI:1972961845
Name:COBB EYE ASSOCIATES I
Entity type:Organization
Organization Name:COBB EYE ASSOCIATES I
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAJI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:470-725-6171
Mailing Address - Street 1:1785 COBB PKWY S
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-9288
Mailing Address - Country:US
Mailing Address - Phone:770-955-5019
Mailing Address - Fax:770-955-7349
Practice Address - Street 1:1785 COBB PKWY S
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-9288
Practice Address - Country:US
Practice Address - Phone:770-955-5019
Practice Address - Fax:770-955-7349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-05
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty