OrganizationActive
Advanced Eye Associates LLC
NPI 1720217771 · Corneal and Contact Management Optometrist · Marietta, GA
Provider details
- NPI number
- 1720217771
- Entity type
- Organization
- Primary specialty
- Corneal and Contact Management OptometristEye and Vision Services Providers
- Authorized official
- Alfred Long, Physician
- License
- 152WOOOOOX (GA)
Practice location
2645 Dallas Hwy Sw
Suite 100
Marietta, GA 30064-2541
Phone: (770) 422-8002
Fax: (770) 422-4618
Mailing address
2645 Dallas Hwy Sw
Marietta, GA 30064-2541
Registry dates
- Enumerated
- 2009-07-13
- Last updated
- 2016-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.