GAINESVILLE EYE ASSOCIATES LLC NPI 1285617647

NPI Information

NPI: 1285617647
Provider Name: GAINESVILLE EYE ASSOCIATES LLC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
CLIA Number: 11D2014847
Address: 2061 BEVERLY RD
GAINESVILLE, GA
ZIP 30501
Phone: (770) 532-4444

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NPI Details

GAINESVILLE EYE ASSOCIATES LLC is an ophthalmology in Gainesville, GA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. GAINESVILLE EYE ASSOCIATES LLC NPI is 1285617647. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2061 BEVERLY RD
GAINESVILLE, GA
ZIP 30501-034
Phone: (770) 532-4444
Fax: (770) 535-1852

The provider's authorized official is Stephen J Farkas .
The authorized official title is Md and has the following contact phone number (770) 532-4444.

The CLIA number assigned to this NPI record is 11D2014847 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/21/2005 and was last updated on 11/29/2016.

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	207W00000X	Ophthalmology				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	55000621A	MEDICAID	GEORGIA
2	0536880001	MEDICARE NSC	GEORGIA
3	565	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	GROUP PROVIDER NUMBER

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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