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GEORGIA EYE ASSOCIATES P.C. NPI 1629165642


NPI Information

NPI: 1629165642
Provider Name: GEORGIA EYE ASSOCIATES, P.C.
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 11D2098434

Address:
771 OLD NORCROSS RD
SUITE 150
LAWRENCEVILLE, GA
ZIP 30046
Phone: (770) 995-5408
Get Directions

GEORGIA EYE ASSOCIATES, P.C. is an ophthalmology in Lawrenceville, 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. GEORGIA EYE ASSOCIATES, P.C. NPI is 1629165642. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

771 OLD NORCROSS RD
SUITE 150
LAWRENCEVILLE, GA
ZIP 30046-979
Phone: (770) 995-5408
Fax: (770) 513-2042

The provider's authorized official is Donald E Poland .
The authorized official title is Owner and has the following contact phone number (770) 995-5408.

The CLIA number assigned to this NPI record is 11D2098434 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 12/22/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristOPT002167GEORGIANo
2207W00000XOphthalmology050167GEORGIANo
3207W00000XOphthalmology021751GEORGIANo
4152W00000XOptometristOPT001207GEORGIANo
5152W00000XOptometristOPT001163GEORGIANo
6207W00000XOphthalmology031101GEORGIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CG1368OTHERGEORGIARAILROAD MEDICARE
21629165642MEDICARE PINGEORGIA
30787460002MEDICARE NSCGEORGIA

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: 11/14/2023

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.