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LEIV M TAKLE MD PC NPI 1568665404


NPI Information

NPI: 1568665404
Provider Name: LEIV M TAKLE MD PC

Doing Business As: TAKLE EYE GROUP

Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 11D2160341

Address:
646 S 8TH ST
GRIFFIN, GA
ZIP 30224
Phone: (770) 228-3836
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LEIV M TAKLE MD PC is an ophthalmology in Griffin, GA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. LEIV M TAKLE MD PC NPI is 1568665404. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Takle Eye Group.

The provider's business location address is:

646 S 8TH ST
GRIFFIN, GA
ZIP 30224-214
Phone: (770) 228-3836
Fax: (770) 412-1733

The provider's authorized official is Leiv M Takle .
The authorized official title is Owner / Ceo and has the following contact phone number (770) 228-3836.

The CLIA number assigned to this NPI record is 11D2160341 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/7/2007 and was last updated on 11/30/2023.


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
1152W00000XOptometristNo
2207W00000XOphthalmologyYes

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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