Shundale Thomas Mixon (NPI# 1013403088, PAC ID# 9537402367) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1013403088 |
| PAC ID by PECOS | 9537402367 |
| Professional Enrollment ID | I20190520001460 |
| Full Name | Shundale Thomas Mixon |
| Organization Legal Name | CLARKSON OPTOMETRY GEORGIA INC |
| Address |
2900 Peachtree Rd Nw Suite 301 Atlanta GA 30305-2193 |
| Phone Number | 4048695551 |
| Gender | F |
| Medical School | NOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE |
| Graduation Year | 2018 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 5193732949 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2900 Peachtree Rd Nw, Suite 301, Atlanta, GA 30305-2193 | 4048695551 | CLARKSON OPTOMETRY GEORGIA INC |
| Organization Legal Name | CLARKSON OPTOMETRY GEORGIA INC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Olivia Oyegunle | Optometry | Clarkson Optometry Georgia Inc | 4153 Lawrenceville Hwy Nw, Suite 5, Lilburn, GA 30047-2854 |
| Reema Gosalia | Optometry | Clarkson Optometry Georgia Inc | 867 Peachtree St Ne, Suite 2, Atlanta, GA 30308-1902 |
| Joseph Lief Andersen | Optometry | Clarkson Optometry Georgia Inc | 8400 Holcomb Bridge Rd, Suite 440, Alpharetta, GA 30022-1837 |
| Chad E Poole | Optometry | Clarkson Optometry Georgia Inc | 1013 E Fwy Dr, Conyers, GA 30094-5965 |
| Roshani Patel | Optometry | Clarkson Optometry Georgia Inc | 867 Peachtree St Ne, Suite 2, Atlanta, GA 30308-1902 |
| Shruti Patel | Optometry | Clarkson Optometry Georgia Inc | 8400 Holcomb Bridge Rd, Suite 440, Alpharetta, GA 30022-1837 |
| Phi P Bang | Optometry | Clarkson Optometry Georgia Inc | 8400 Holcomb Bridge Rd, Suite 440, Alpharetta, GA 30022-1837 |
| Robert L Burns | Optometry | Clarkson Optometry Georgia Inc | 1013 E Fwy Dr, Conyers, GA 30094-5965 |
| Mark A Gottlieb | Optometry | Clarkson Optometry Georgia Inc | 1013 E Fwy Dr, Conyers, GA 30094-5965 |
| Paige Foster | Optometry | Clarkson Optometry Georgia Inc | 1013 E Fwy Dr, Conyers, GA 30094-5965 |
| Street Address |
2900 PEACHTREE RD NW SUITE 301 |
| City | ATLANTA |
| State | GA |
| Zip | 30305-2193 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne Waldner Rohling | Physical Therapy | Agilitas Usa Inc | 2900 Peachtree Rd Nw, Suite 208, Atlanta, GA 30305-2189 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zaccardo K Clark | Nurse Practitioner | Wellstreet of Georgia PC | 3617 Roswell Nerd A, Atlanta, GA 30305-1111 |
| Raymond Paul Fowler | Chiropractic | 110 E Andrews Nw Dr, Suite 301, Atlanta, GA 30305-1319 | |
| Allene L Ranew | Clinical Social Worker | 3580 Piedmont Nerd, Suite 210, Atlanta, GA 30305-1506 | |
| Ashford S Mcallister | Diagnostic Radiology | Quantum Medical Radiology of California PC | 3520 Piedmont Rd Ne, Suite 250, Atlanta, GA 30305-1516 |
| Christopher D Scoma | Chiropractic | 3575 Piedmont Nerd, Atlanta, GA 30305-1623 | |
| Carolyn M Lawson | Physical Therapy | 3365 Piedmont Nerd, Suite 1260, Atlanta, GA 30305-1708 | |
| Valerie S Marler | Clinical Psychologist | Valerie S Marler,ph.d.,p.c. | 3495 Piedmont Nerd, Suite 320, Atlanta, GA 30305-1717 |
| Viviana Goldenberg | Family Medicine | The Southeast Permanente Medical Group | 3495 Piedmont Rd Ne, Building Nine, Atlanta, GA 30305-1736 |
| Daniel C Grizzle | Family Medicine | The Southeast Permanente Medical Group | 3495 Piedmont Rd Ne, Building Nine, Atlanta, GA 30305-1736 |
| Winkler G Weinberg | Infectious Disease | The Southeast Permanente Medical Group | 3495 Piedmont Rd Ne, Building Nine, Atlanta, GA 30305-1736 |
| Find all physicians in zip 30305 | |||
| City | ATLANTA |
| Zip Code | 30305 |
| Specialty | OPTOMETRY |
| City + Specialty | ATLANTA + OPTOMETRY |
Please comment or provide details below to improve the information on Shundale Thomas Mixon.
| 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.