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EYE INSTITUTE OF NORTH GEORGIA PC NPI 1871611707


NPI Information

NPI: 1871611707
Provider Name: EYE INSTITUTE OF NORTH GEORGIA, PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
299 HURRICANE SHOALS RD NW
LAWRENCEVILLE, GA
ZIP 30045
Phone: (770) 339-6085
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EYE INSTITUTE OF NORTH GEORGIA, PC is a specialist in Lawrenceville, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. EYE INSTITUTE OF NORTH GEORGIA, PC NPI is 1871611707. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

299 HURRICANE SHOALS RD NW
LAWRENCEVILLE, GA
ZIP 30045-420
Phone: (770) 339-6085
Fax: (770) 339-6146

The provider's authorized official is Ray M Freeman .
The authorized official title is Owner and has the following contact phone number (770) 339-6085.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 2/22/2012.


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
1174400000XSpecialist032186GEORGIAYes

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
100412893AMEDICAIDGEORGIA
2GRP2493MEDICARE PINGEORGIA

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.