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EYE CARE ASSOCIATES OF MIDDLE GA LLC NPI 1417071895


NPI Information

NPI: 1417071895
Provider Name: EYE CARE ASSOCIATES OF MIDDLE GA, LLC

Former Legal Business Name: EYE CARE ASSOCIATES OF MIDDLE GA, LLC

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
198 S HOUSTON LAKE RD
STE B
WARNER ROBINS, GA
ZIP 31088
Phone: (478) 971-1500
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EYE CARE ASSOCIATES OF MIDDLE GA, LLC is an optometrist in Warner Robins, GA. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. EYE CARE ASSOCIATES OF MIDDLE GA, LLC NPI is 1417071895. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Eye Care Associates Of Middle Ga, Llc.

The provider's business location address is:

198 S HOUSTON LAKE RD
STE B
WARNER ROBINS, GA
ZIP 31088-473
Phone: (478) 971-1500

The provider's authorized official is Dudley Christie .
The authorized official title is Owner and has the following contact phone number (478) 971-1500.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 4/30/2008.


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
1152W00000XOptometristYes

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
1U93876MEDICARE UPINGEORGIA
21427120138MEDICARE PINGEORGIA
3088554984BMEDICAIDGEORGIA
45673540002MEDICARE NSCGEORGIA
55673540001MEDICARE NSCGEORGIA
6140852100AMEDICAIDGEORGIA
71255320859MEDICARE PINGEORGIA
8GRP6947MEDICARE ID-TYPE UNSPECIFIEDGEORGIA
91447322151MEDICARE PINGEORGIA

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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