EYELIDATL LLC – NPI #1669158184
Clinic/Center

EYELIDATL LLC is an AHC clinic located in ATLANTA, GA. NPPES has assigned the NPI number 1669158184 to EYELIDATL LLC on June 27, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 2 years ago on Dec 28, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EYELIDATL LLC below.

NPI Profile for
EYELIDATL LLC

NPI Number
1669158184
Enumeration Date

(about 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EYELIDATL LLC
Primary location
3280 HOWELL MILL RD NW STE 321
ATLANTA, GA 30327-4109
Phone: (404) 946-8323 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MICHAEL NEIMKIN
MEDICAL DIRECTOR
Phone: (404) 946-8323
Updated
Certification Date
Dec 28, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)
261QS0132X
- Clinic/Center / Ophthalmologic Surgery

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.