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FOUNTAIN CITY EYECARE LLC NPI 1245390459


NPI Information

NPI: 1245390459
Provider Name: FOUNTAIN CITY EYECARE LLC
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
1807 STATION DR
SUITE A
PRATTVILLE, AL
ZIP 36066
Phone: (334) 358-2440
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FOUNTAIN CITY EYECARE LLC is an optometrist in Prattville, AL. 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. FOUNTAIN CITY EYECARE LLC NPI is 1245390459. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1807 STATION DR
SUITE A
PRATTVILLE, AL
ZIP 36066-664
Phone: (334) 358-2440

The provider's authorized official is George Nicholas Eischens .
The authorized official title is Owner Ceo and has the following contact phone number (334) 358-2440.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 5/25/2010.


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
1152WV0400XOptometristVision TherapyS983TA555ALABAMANo
2152W00000XOptometristS983TA555ALABAMAYes

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
1=========OTHERALABAMATRICARE
2529911890MEDICAIDALABAMA
3P00201800OTHERRAILROAD MEDICARE
4051509621OTHERALABAMABCBS
5051509621MEDICARE ID-TYPE UNSPECIFIEDALABAMA
622-00012OTHERALABAMAUNITED HEALTHCARE
7051509621MEDICAIDALABAMA
8=========OTHERALABAMAVIVA HEALTHCARE INC
9U86988MEDICARE UPIN

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

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