Provider Demographics
NPI:1295322436
Name:LAKHANI VISION CARE, PC
Entity type:Organization
Organization Name:LAKHANI VISION CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAKESHKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:LAKHANI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:512-797-4471
Mailing Address - Street 1:4475 ROSWELL RD STE 1430
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-8191
Mailing Address - Country:US
Mailing Address - Phone:770-509-9932
Mailing Address - Fax:
Practice Address - Street 1:4475 ROSWELL RD STE 1430
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-8191
Practice Address - Country:US
Practice Address - Phone:770-509-9932
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-22
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center