1023821535 NPI number — THE ATLANTA CORNEA CARE CENTER - DR. KENYATTA BRANTLEY, OPTOMETRIST (P.C.)

Table of content: (NPI 1023821535)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023821535 NPI number — THE ATLANTA CORNEA CARE CENTER - DR. KENYATTA BRANTLEY, OPTOMETRIST (P.C.)

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE ATLANTA CORNEA CARE CENTER - DR. KENYATTA BRANTLEY, OPTOMETRIST (P.C.)
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023821535
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/29/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
37 CALUMET PARKWAY BLDG G SUITE 101
Provider Second Line Business Mailing Address:
ATTENTION: DR. KEN BRANTLEY
Provider Business Mailing Address City Name:
NEWNAN
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30263
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
229-800-4712
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
37 CALUMET PARKWAY BLDG G SUITE 101
Provider Second Line Business Practice Location Address:
ATTENTION: DR. KEN BRANTLEY
Provider Business Practice Location Address City Name:
NEWNAN
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30263
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
229-800-4712
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/29/2025

Additional Information

Authorized Official

Authorized Official Last Name:
BRANTLEY
Authorized Official First Name:
KENYATTA
Authorized Official Middle Name:
D.
Authorized Official Title or Position:
CLINICAL DIRECTOR
Authorized Official Telephone Number:
229-800-4712

Provider Taxonomy Codes

  • Taxonomy code: 152WC0802X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com