LANIER EYE ASSOCIATES LLC NPI 1629107545

NPI Information

NPI: 1629107545
Provider Name: LANIER EYE ASSOCIATES, LLC

Doing Business As: ADVANCED EYE SURGERY AND LASER CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
625 S ENOTA DR NE
GAINESVILLE, GA
ZIP 30501
Phone: (770) 532-0292
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LANIER EYE ASSOCIATES, LLC is an ambulatory surgical clinic center in Gainesville, GA. LANIER EYE ASSOCIATES, LLC NPI is 1629107545. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Eye Surgery And Laser Center.

The provider's business location address is:

625 S ENOTA DR NE
GAINESVILLE, GA
ZIP 30501-437
Phone: (770) 532-0292
Fax: (770) 533-7377

The provider's authorized official is William Morris .
The authorized official title is Administrator and has the following contact phone number (770) 532-0292.

The CLIA number assigned to this NPI record is 11D1017530 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/5/2007 and was last updated on 6/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	069-271	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	111232ASCA	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	GEORGIA MEDICARE PART B

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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