Mary Brunner (NPI# 1184779084, PAC ID# 3678591377) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1184779084 |
| PAC ID by PECOS | 3678591377 |
| Professional Enrollment ID | I20110418000669 |
| Full Name | Mary Brunner |
| Organization Legal Name | GEORGIA OPTOMETRY GROUP ASSOCIATES PC |
| Address |
2700 Town Ctr Dr Suite H2 Kennesaw GA 30144-6800 |
| Phone Number | 7704288090 |
| Gender | F |
| Credential | OD |
| Medical School | UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY |
| Graduation Year | 1987 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 9335166081 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4480 A Chamblee Dunwoody Rd, Dunwoody, GA 30338-6339 | 7703942110 | GEORGIA OPTOMETRY GROUP ASSOCIATES PC |
| 2700 Town Ctr Dr, Suite H2, Kennesaw, GA 30144-6800 | 7704288090 | GEORGIA OPTOMETRY GROUP ASSOCIATES PC |
| Organization Legal Name | GEORGIA OPTOMETRY GROUP ASSOCIATES PC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary Pence | Optometry | Georgia Optometry Group Associates PC | 1544 Southlake Pkwy, Suite 9b, Morrow, GA 30260-3025 |
| Sharon Ellis | Optometry | Georgia Optometry Group Associates PC | 1544 Southlake Pkwy, Suite 9b, Morrow, GA 30260-3025 |
| Kelly Spetalnick | Optometry | Georgia Optometry Group Associates PC | 1544 Southlake Pkwy, Suite 9b, Morrow, GA 30260-3025 |
| Michael Richards | Optometry | Georgia Optometry Group Associates PC | 1544 Southlake Pkwy, Suite 9b, Morrow, GA 30260-3025 |
| Street Address |
2700 TOWN CTR DR SUITE H2 |
| City | KENNESAW |
| State | GA |
| Zip | 30144-6800 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lorena Jesus | Chiropractic | 501 Roberts Nwct, Kennesaw, GA 30144 | |
| Justin M Tinsley | Chiropractic | 2710 Town Ctr Dr Nw, Suite 104, Kennesaw, GA 30144 | |
| Amy L Reich | Chiropractic | Big Idea Family Chiropractic Center | 3450 Acworth Due W Nwrd, Suite 330, Kennesaw, GA 30144-1002 |
| Lucy Gomez Rosenberg | Chiropractic | 3450 Acworth Due W Nw Rd, Suite 330, Kennesaw, GA 30144-1002 | |
| Michael Miller | Podiatry | 3450 Acworth Due W Rd Nw, Suite 320, Kennesaw, GA 30144-1002 | |
| Steven H Bailey | Hand Surgery | Crawford Plastic Surgery | 3450 Acworth Due W Rd, Bldg 200 Suite 220, Kennesaw, GA 30144-1078 |
| Marcus H Crawford | Plastic and Reconstructive Surgery | Crawford Plastic Surgery | 3450 Acworth Due W Rd, Bldg 200 Suite 220, Kennesaw, GA 30144-1078 |
| Jered M Hull | Chiropractic | 3400 Blue Springs Nwrd, Suite 100, Kennesaw, GA 30144-1079 | |
| Stephen K Green | Chiropractic | 4200 Wade Green Rd, Suite 204, Kennesaw, GA 30144-1237 | |
| Jill G Sebaugh | Clinical Social Worker | 4255 Wade Green Rd, Suite 414, Kennesaw, GA 30144-1244 | |
| Find all physicians in zip 30144 | |||
| City | KENNESAW |
| Zip Code | 30144 |
| Specialty | OPTOMETRY |
| City + Specialty | KENNESAW + OPTOMETRY |
Please comment or provide details below to improve the information on Mary Brunner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.