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ADVANCED EYECARE OF GEORGIA PC NPI 1841383122


NPI Information

NPI: 1841383122
Provider Name: ADVANCED EYECARE OF GEORGIA PC
Classification: Optometrist - 152WC0802X
Entity Type: Organization

Specialization: Corneal and Contact Management

Address:
1569 N EXPRESSWAY
GRIFFIN, GA
ZIP 30223
Phone: (770) 233-6860
Get Directions

ADVANCED EYECARE OF GEORGIA PC is a corneal and contact management optometrist in Griffin, GA. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. ADVANCED EYECARE OF GEORGIA PC NPI is 1841383122. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1569 N EXPRESSWAY
GRIFFIN, GA
ZIP 30223-746
Phone: (770) 233-6860

The provider's authorized official is John William Baldwin .
The authorized official title is President and has the following contact phone number (770) 233-6860.

The enumeration date for this NPI number is 10/1/2006 and was last updated on 8/27/2008.


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
1152WC0802XOptometristCorneal and Contact Management819TGEORGIAYes

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
155413554SAMEDICAIDGEORGIA
2U22183MEDICARE UPINGEORGIA

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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