BAXLEY EYECARE CENTER NPI 1053545723

NPI Information

  • NPI: 1053545723
  • Provider Name: BAXLEY EYECARE CENTER
  • Classification: Optometrist - 152W00000X
  • Entity Type: Organization
  • Address: 18 LUCKIE ST STE C
    SUTIE C
    BAXLEY, GA
    ZIP 31513
  • Phone: (912) 367-6863

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NPI Details

BAXLEY EYECARE CENTER is an optometrist in Baxley, GA. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. BAXLEY EYECARE CENTER NPI is 1053545723. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

18 LUCKIE ST STE C
SUTIE C
BAXLEY, GA
ZIP 31513-358
Phone: (912) 367-6863
Fax: (912) 367-0775

The provider's authorized official is Emily E Kanavage .
The authorized official title is Office Manager and has the following contact phone number (912) 537-2020.

The enumeration date for this NPI number is 5/11/2009 and was last updated on 5/11/2009.

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
1152W00000XOptometrist1223GEORGIAYes

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
1U05461MEDICARE 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: 11/21/2025

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