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GEORGIA-FLORIDA EYE CENTERS P.C. NPI 1932126455


NPI Information

NPI: 1932126455
Provider Name: GEORGIA-FLORIDA EYE CENTERS, P.C.

Doing Business As: MOULTRIE OPTICAL

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization

CLIA Number: 11D2093417

Address:
2375 S MAIN ST
MOULTRIE, GA
ZIP 31768
Phone: (229) 891-2020
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GEORGIA-FLORIDA EYE CENTERS, P.C. is an eyewear supplier in Moultrie, GA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. GEORGIA-FLORIDA EYE CENTERS, P.C. NPI is 1932126455. The provider is registered as an organization entity type.
The provider Is Doing Business As Moultrie Optical.

The provider's business location address is:

2375 S MAIN ST
MOULTRIE, GA
ZIP 31768-517
Phone: (229) 891-2020
Fax: (229) 890-7741

The provider's authorized official is Elizabeth Law .
The authorized official title is Office Manager and has the following contact phone number (229) 226-6000.

The CLIA number assigned to this NPI record is 11D2093417 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 12/29/2022.


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
1332H00000XEyewear SupplierLDO000362GEORGIAYes

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
1000479696AMEDICAIDGEORGIA

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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