MEDICAL EYE ASSOCIATES INC. NPI 1205800752

NPI Information

NPI: 1205800752
Provider Name: MEDICAL EYE ASSOCIATES, INC.
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 11D0947907

Address:
1429 OGLETHORPE ST
MACON, GA
ZIP 31201
Phone: (478) 743-7061
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MEDICAL EYE ASSOCIATES, INC. is an ambulatory surgical clinic center in Macon, GA. MEDICAL EYE ASSOCIATES, INC. NPI is 1205800752. The provider is registered as an organization entity type.

The provider's business location address is:

1429 OGLETHORPE ST
MACON, GA
ZIP 31201-512
Phone: (478) 743-7061
Fax: (478) 743-6296

The provider's authorized official is Diane N Vaughn .
The authorized official title is Practice Manager and has the following contact phone number (478) 743-7061.

The CLIA number assigned to this NPI record is 11D0947907 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/13/2006 and was last updated on 2/4/2008.

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	261QA1903X	Clinic/Center	Ambulatory Surgical			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	00350809A	MEDICAID	GEORGIA
2	111008ASCA	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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