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LIL FIVE EYES LLC NPI 1619409729


NPI Information

NPI: 1619409729
Provider Name: LIL FIVE EYES LLC

Doing Business As: EYE ETC.

Classification: Health Maintenance Organization - 302R00000X
Entity Type: Organization
Address:
484 MORELAND AVE NE
D STE
ATLANTA, GA
ZIP 30307
Phone: (404) 523-3937
Get Directions

LIL FIVE EYES LLC is a health maintenance organization in Atlanta, GA. The provider is (1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. LIL FIVE EYES LLC NPI is 1619409729. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Eye Etc..

The provider's business location address is:

484 MORELAND AVE NE
D STE
ATLANTA, GA
ZIP 30307
Phone: (404) 523-3937
Fax: (404) 688-3232

The provider's authorized official is Colay Anquanette White .
The authorized official title is Owner and has the following contact phone number (404) 523-3937.

The enumeration date for this NPI number is 3/29/2017 and was last updated on 6/22/2018.


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
1152W00000XOptometristGA002600GEORGIANo
2302R00000XHealth Maintenance Organization002600GEORGIAYes

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
11619409729MEDICAIDGEORGIA

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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