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GINA R DURANT NPI 1629276464


NPI Information

NPI: 1629276464
Provider Name: GINA R DURANT
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
144 E BROAD ST
LOUISVILLE, GA
ZIP 30434
Phone: (478) 625-7605
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GINA R DURANT is an optometrist in Louisville, GA. 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. GINA R DURANT NPI is 1629276464. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

144 E BROAD ST
LOUISVILLE, GA
ZIP 30434-620
Phone: (478) 625-7605
Fax: (478) 625-7605

The provider's authorized official is Gina Ruth Durant .
The authorized official title is Owner and has the following contact phone number (478) 625-7605.

The enumeration date for this NPI number is 7/3/2007 and was last updated on 2/20/2013.


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
1152W00000XOptometrist1272-TGEORGIAYes
2152W00000XOptometrist1273-TGEORGIANo

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
1U28357MEDICARE UPINGEORGIA
241ZCCCTMEDICARE ID-TYPE UNSPECIFIEDGEORGIA
3U25482MEDICARE UPINGEORGIA
4GRP1624MEDICARE PINGEORGIA
541ZCCHNMEDICARE ID-TYPE UNSPECIFIEDGEORGIA
6000479674BMEDICAIDGEORGIA
700515193BMEDICAIDGEORGIA

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: 5/5/2024

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