DR. GARY THOMAS PENCE (NPI# 1316002926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316002926 |
| Entity Type | Individual |
| Full Name | DR. GARY THOMAS PENCE |
| Credential | O.D. |
| Practice Address |
4651 Chamblee Dunwoody Rd Suite A Atlanta GA 30338-6339 |
| Mailing Address |
4045 Spinnaker Dr Duluth GA 30096-5264 |
| Practice Telephone | 7703942110 |
| Mailing Telephone | 7706239370 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1290-T | GA | Eye and Vision Services Providers |
| Street Address |
4651 CHAMBLEE DUNWOODY RD SUITE A |
| City | ATLANTA |
| State | GA |
| Zip Code | 30338-6339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588722508 | Kelly N Spetalnick | Optometrist | 4651 Chamblee Dunwoody Rd, Atlanta, GA 30338-6339 | 2006-12-04 |
| 1154720993 | Lioudmila Bourova-brazier | Nurse Practitioner | 4651 Chamblee Dunwoody Rd, Atlanta, GA 30338-6339 | 2014-08-18 |
| 1578843256 | Medprime, LLC | Chiropractor | 4651 Chamblee Dunwoody Rd, Suite A, Atlanta, GA 30338-6339 | 2011-08-25 |
| 1871897280 | Medicus Health Group LLC | General Practice | 4651 Chamblee Dunwoody Rd, Atlanta, GA 30338-6339 | 2010-12-28 |
| 1821204793 | Hypnosis Clinic Inc | Psychologist | 4651 Chamblee Dunwoody Rd, Suite D, Atlanta, GA 30338-6339 | 2007-05-15 |
| 1144436007 | Aberth Inc | Psychologist | 4651 Chamblee Dunwoody Rd, Suite D, Atlanta, GA 30338-6339 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629606264 | Jasmine Donesha Shackelford | Student in an Organized Health Care Education/Training Program | Emory Family Medicine, 4500 North Shallowford Road, Atlanta, GA 30338 | 2020-03-30 |
| 1558907774 | Brianna Harding | Pharmacist | 4608 Devonshire Road, Dunwoody, GA 30338 | 2019-11-22 |
| 1194382135 | Kadan Corporation | In Home Supportive Care | 1848 Independence Square, Suite A, Dunwoody, GA 30338 | 2019-05-24 |
| 1144789553 | Carla Fabiola Nunez | Dentist | 5200 Roberts Dr, Atlanta, GA 30338 | 2019-03-15 |
| 1861978793 | Uhs of Peachford Lp | Pharmacy | 2150 Peachford Rd Ste D, Atlanta, GA 30338 | 2018-07-13 |
| 1275047474 | Mary Rose Ziemba | Physical Therapist | 4516 Chamblee Dunwoody Rd # 22, Dunwoody, GA 30338 | 2017-11-27 |
| 1992223531 | Joel Moorhead | Physical Medicine & Rehabilitation | 1521 Eidson Hall Drive, Dunwoody, GA 30338 | 2017-09-05 |
| 1336667997 | Absolute Holistic Medicine | Clinic/Center | 1868 Independence Sq, Suite A, Atlanta, GA 30338 | 2017-09-05 |
| 1164947115 | Modern Dermatology Atlanta | Dermatology | 5696 Whitehall Walk, Dunwoody, GA 30338 | 2017-08-11 |
| 1366972150 | A Caring Approach To Home Health Services Inc. | In Home Supportive Care | 200 Ashford Center North, Suite 370, Atlanta, GA 30338 | 2017-06-14 |
| Find all providers in zip 30338 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850466 | Kelsea Brown | Optometrist | 2184 Henderson Mill Rd Ne Ste 12b, Atlanta, GA 30345-3762 | 2020-10-28 |
| 1770101818 | Tony Lam | Optometrist | 2549 Piedmont Rd Ne Ste 120, Atlanta, GA 30324-3023 | 2020-07-06 |
| 1124641329 | Jenna Lee Reid | Optometrist | 1544 Piedmont Ave Ne Ste 320, Atlanta, GA 30324-5018 | 2020-05-21 |
| 1891345575 | Javeya Clark | Optometrist | 3645 Habersham Rd Ne, Atlanta, GA 30305-1130 | 2019-09-16 |
| 1164084687 | Sarah A Flanagan | Optometrist | 5505 Peachtree Dunwoody Ste 300, Atlanta, GA 30342-1713 | 2019-07-04 |
| 1790346476 | 2020atlanta PC | Optometrist | 20 10th St Nw Unit 1101, Atlanta, GA 30309-3868 | 2019-06-24 |
| 1972065456 | Myeyedr Optometry of Georgia, LLC | Optometrist | 860 Peachtree St Ne Ste F, Atlanta, GA 30308-1288 | 2019-04-03 |
| 1467925172 | Muqdisa Hashmi | Optometrist | 3393 Peachtree Rd Ne Ste B128, Atlanta, GA 30326-1197 | 2019-01-04 |
| 1063994481 | Mark Edward Brachmanski | Optometrist | 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 | 2018-09-01 |
| 1225518236 | Lianne Ashley Chuck | Optometrist | 2860 Cumberland Mall Se Ste 1440, Atlanta, GA 30339-3963 | 2018-08-19 |
| Find all providers in ATLANTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.