SCOTT EYE CLINIC NPI 1972734226

NPI Information

NPI: 1972734226
Provider Name: SCOTT EYE CLINIC

Doing Business As: SCOTT EYE CLINIC

Classification: Clinic/Center - 261QS0132X
Entity Type: Organization

Specialization: Ophthalmologic Surgery

Address:
4075 MARIETTA HWY STE 110
DALLAS, GA
ZIP 30157
Phone: (770) 445-9866
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SCOTT EYE CLINIC is an ophthalmologic surgery clinic center in Dallas, GA. SCOTT EYE CLINIC NPI is 1972734226. The provider is registered as an organization entity type.
The provider Is Doing Business As Scott Eye Clinic.

The provider's business location address is:

4075 MARIETTA HWY STE 110
DALLAS, GA
ZIP 30157-317
Phone: (770) 445-9866
Fax: (770) 445-8244

The provider's authorized official is Roger Wilkin Scott .
The authorized official title is Optometrist and has the following contact phone number (770) 445-9866.

The enumeration date for this NPI number is 8/4/2009 and was last updated on 8/4/2009.

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
1	261QS0132X	Clinic/Center	Ophthalmologic Surgery	1253	GEORGIA	Yes

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
1	0988940001	MEDICARE NSC	GEORGIA

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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