Provider Demographics
NPI:1992686448
Name:OCULARE PERSONALIZED EYECARE
Entity type:Organization
Organization Name:OCULARE PERSONALIZED EYECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GAVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:404-405-8539
Mailing Address - Street 1:3715 NORTHSIDE PKWY NW STE 220
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-2886
Mailing Address - Country:US
Mailing Address - Phone:404-380-1500
Mailing Address - Fax:
Practice Address - Street 1:3715 NORTHSIDE PKWY NW STE 220
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30327-2886
Practice Address - Country:US
Practice Address - Phone:404-380-1500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty