Classic Vision Care - Optometrist in Kennesaw, GA

Classic Vision Care is a Optometrist based in Kennesaw, Georgia. Classic Vision Care is licensed to practice in Georgia (license number OPT001008) and their current practice location is 1615 Ridenour Blvd Nw, Suite 201, Kennesaw, Georgia. It can be reached at their office (for appointments etc.) via phone at (770) 499-2020.

NPI number for Classic Vision Care is 1205155116 and their current mailing address is 1615 Ridenour Blvd Nw, Suite 201, Kennesaw, Georgia. Classic Vision Care does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1205155116.

Contact Information

Classic Vision Care
1615 Ridenour Blvd Nw, Suite 201,
Kennesaw, GA 30152-4463
(770) 499-2020
(770) 426-8157



Healthcare Provider's Profile

Full NameClassic Vision Care
TypeFacility
SpecialityOptometrist
Location1615 Ridenour Blvd Nw, Kennesaw, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1205155116
  • Provider Enumeration Date: 05/18/2010
  • Last Update Date: 07/14/2014

Medical Identifiers

Medical identifiers for Classic Vision Care such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205155116NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist OPT001008 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Classic Vision Care is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Classic Vision Care
1615 Ridenour Blvd Nw, Suite 201,
Kennesaw, GA 30152-4463

Ph: (770) 499-2020
Classic Vision Care
1615 Ridenour Blvd Nw, Suite 201,
Kennesaw, GA 30152-4463

Ph: (770) 499-2020

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