PREMIER OPHTHALMOLOGY LLC NPI 1548315252

NPI Information

  • NPI: 1548315252
  • Provider Name: PREMIER OPHTHALMOLOGY, LLC
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • Address: 7170 HIGHWAY 278 NE
    SUITE B
    COVINGTON, GA
    ZIP 30014
  • Phone: (770) 787-6200

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NPI Details

PREMIER OPHTHALMOLOGY, LLC is an eyewear supplier in Covington, GA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. PREMIER OPHTHALMOLOGY, LLC NPI is 1548315252. The provider is registered as an organization entity type.

The provider's business location address is:

7170 HIGHWAY 278 NE
SUITE B
COVINGTON, GA
ZIP 30014-529
Phone: (770) 787-6200
Fax: (770) 787-2643

The provider's authorized official is Bradley G Jacoby .
The authorized official title is Physician Owner and has the following contact phone number (770) 787-6200.

The enumeration date for this NPI number is 1/24/2007 and was last updated on 8/2/2012.

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
1332H00000XEyewear Supplier6856GEORGIAYes

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
1C68884MEDICARE UPINGEORGIA
2000326697BMEDICAIDGEORGIA
31149710001MEDICARE ID-TYPE UNSPECIFIEDGEORGIA

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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