WOODHAMS LASER & LENS IMPLANT CENTER LLC NPI 1093748527

NPI Information

NPI: 1093748527
Provider Name: WOODHAMS LASER & LENS IMPLANT CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1140 HAMMOND DR NE
E5100
ATLANTA, GA
ZIP 30328
Phone: (770) 394-4000
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WOODHAMS LASER & LENS IMPLANT CENTER LLC is an ambulatory surgical clinic center in Atlanta, GA. WOODHAMS LASER & LENS IMPLANT CENTER LLC NPI is 1093748527. The provider is registered as an organization entity type.

The provider's business location address is:

1140 HAMMOND DR NE
E5100
ATLANTA, GA
ZIP 30328-338
Phone: (770) 394-4000
Fax: (770) 913-0841

The provider's authorized official is J Trevor Woodhams .
The authorized official title is Owner and has the following contact phone number (770) 394-4000.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 11/18/2015.

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	261QA1903X	Clinic/Center	Ambulatory Surgical		GEORGIA	Yes

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
1	111209ASCA	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA

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: 4/28/2024

NPI Synchronization or Removal

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