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AMERICAN EYECARE CENTER WAYCROSS PC NPI 1558530675


NPI Information

NPI: 1558530675
Provider Name: AMERICAN EYECARE CENTER WAYCROSS PC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

CLIA Number: 11D2250040

Address:
1730 BRUNSWICK HWY
WAYCROSS, GA
ZIP 31501
Phone: (912) 283-9383
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AMERICAN EYECARE CENTER WAYCROSS PC is a medical specialty clinic center in Waycross, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). AMERICAN EYECARE CENTER WAYCROSS PC NPI is 1558530675. The provider is registered as an organization entity type.

The provider's business location address is:

1730 BRUNSWICK HWY
WAYCROSS, GA
ZIP 31501-908
Phone: (912) 283-9383
Fax: (912) 285-9333

The provider's authorized official is Rodney Howard Brown .
The authorized official title is Ceo and has the following contact phone number (912) 283-9383.

The CLIA number assigned to this NPI record is 11D2250040 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/22/2008 and was last updated on 3/31/2008.


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
1261QM2500XClinic/CenterMedical Specialty980TGEORGIAYes

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
10289410001MEDICARE NSCGEORGIA
2T93305MEDICARE UPINGEORGIA
341ZCBQSMEDICARE PINGEORGIA
400268133BMEDICAIDGEORGIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.