EYE SITE OF BUFORD INC. NPI 1073505053

NPI Information

NPI: 1073505053
Provider Name: EYE SITE OF BUFORD, INC.
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
4420 NELSON BROGDON BLVD
BUFORD, GA
ZIP 30518
Phone: (770) 932-9656
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EYE SITE OF BUFORD, INC. is an eyewear supplier in Buford, GA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. EYE SITE OF BUFORD, INC. NPI is 1073505053. The provider is registered as an organization entity type.

The provider's business location address is:

4420 NELSON BROGDON BLVD
BUFORD, GA
ZIP 30518-477
Phone: (770) 932-9656
Fax: (770) 932-6606

The provider's authorized official is Raymond D Rupured .
The authorized official title is C Fo and has the following contact phone number (770) 932-9656.

The enumeration date for this NPI number is 8/16/2005 and was last updated on 6/17/2008.

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
1	332H00000X	Eyewear Supplier		GA1214	GEORGIA	Yes

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

NPI Synchronization or Removal

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