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Contact Information

BLUEGRASS EYEWEAR DBA PEACHY EYEWEAR
1525 BLUEGRASS LAKES PKWY
ALPHARETTA, GA30004-7713
 Phone: 800-220-6896
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for BLUEGRASS EYEWEAR DBA PEACHY EYEWEAR

NPI Number 1932852308
LBN Legal business name BLUEGRASS EYEWEAR DBA PEACHY EYEWEAR
Authorized official KATHLEEN HOOVER - (CEO/OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/27/2022
Last updated 01/27/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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