OrganizationActive
Modern Eyecare of Medlock
NPI 1487719084 · Optometrist · Duluth, GA
Provider details
- NPI number
- 1487719084
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Grace Woo, Managing Memeber(678) 205-1599
- License
- OPT002001 (GA)
Specialties & taxonomies
Eye and Vision Services Providers
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9700 Medlock Bridge Rd
Suite 182
Duluth, GA 30097-4411
Phone: (678) 205-1599
Fax: (678) 205-1632
Street-level locationGet directions
Mailing address
190 Brightmore Way
Alpharetta, GA 30005-6773
Registry dates
- Enumerated
- 2006-12-25
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.