Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gwinnett Pediatric & Adult Eye Center

Organization Optometrist · NPI 1578210589

Gwinnett Pediatric & Adult Eye Center is an Optometrist in Suwanee, Georgia. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1300 Peachtree Industrial Blvd Ste 1206
Suwanee, GA 30024-4550
Phone: (334) 318-0713
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X

Record details

NPI number1578210589
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shundale Mixon — Owner/Od · (770) 783-2162
NPI enumeratedMarch 9, 2022
Last updated in NPPESOctober 4, 2023
Certification dateOctober 4, 2023
Mailing address1300 Peachtree Industrial Blvd Ste 1206, Suwanee, GA 30024-4550

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