EYE MD SURGERY CENTER LLC NPI 1306571278

NPI Information

NPI: 1306571278
Provider Name: EYE MD SURGERY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 11D2266239

Address:
14 VISION ST STE 200
BETHLEHEM, GA
ZIP 30620
Phone: (770) 868-0101
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EYE MD SURGERY CENTER LLC is an ambulatory surgical clinic center in Bethlehem, GA. EYE MD SURGERY CENTER LLC NPI is 1306571278. The provider is registered as an organization entity type.

The provider's business location address is:

14 VISION ST STE 200
BETHLEHEM, GA
ZIP 30620-769
Phone: (770) 868-0101

The provider's authorized official is Manan Shah .
The authorized official title is Physician and has the following contact phone number (770) 868-0101.

The CLIA number assigned to this NPI record is 11D2266239 - other - eye surgery with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/23/2022 and was last updated on 12/22/2022.

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			Yes

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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