| Organization Name: | FAMILY EYE CARE CENTER OF ATLANTA, INC |
| NPI Number: | 1154569069 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TAKEIA J LOCKE (CEO) |
| Mailing Address: | 1400 Southlake Mall Morrow |
| State: | GA US |
| Postal Code: | 302602328 |
| Phone Number: | 6784221936 |
| Fax Number: | 6784221936 |
| NPI Enumeration Date: | 01/30/2009 |
| NPI Last Update Date: | 01/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WP0200X |
| License Number: | OPT002490 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |