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NORTH GEORGIA OPTICIANS INC NPI 1073640264


NPI Information

NPI: 1073640264
Provider Name: NORTH GEORGIA OPTICIANS, INC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 11D1036371

Address:
535 JESSE JEWELL PKWY SE
SUITE C
GAINESVILLE, GA
ZIP 30501
Phone: (770) 534-1711
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NORTH GEORGIA OPTICIANS, INC is a durable medical equipment medical supplies in Gainesville, GA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. NORTH GEORGIA OPTICIANS, INC NPI is 1073640264. The provider is registered as an organization entity type.

The provider's business location address is:

535 JESSE JEWELL PKWY SE
SUITE C
GAINESVILLE, GA
ZIP 30501-772
Phone: (770) 534-1711

The provider's authorized official is Larry Jeffrey Payne .
The authorized official title is President and has the following contact phone number (770) 534-1711.

The CLIA number assigned to this NPI record is 11D1036371 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/27/2007 and was last updated on 3/16/2009.


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
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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
15421950003MEDICARE NSCGEORGIA
25421950001MEDICARE NSCGEORGIA
35421950002MEDICARE NSCGEORGIA

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

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