NPI 1083403588 · live from the CMS NPI Registry
Atl Eyecare LLC
Optometrist in Dunwoody, GA. National Provider Identifier 1083403588, active.
NPI record
| NPI | 1083403588 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 2458 Jett Ferry Rd Ste 230, Dunwoody, GA 30338 |
| Practice phone | 404-402-4944 |
| Enumerated | May 2, 2025 |
| Last updated | May 2, 2025 |
| Authorized official | Thomas Koepke, Owner/Authorized Official |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.