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REAGIN DECATUR GROUP LLC NPI 1770002693


NPI Information

NPI: 1770002693
Provider Name: REAGIN DECATUR GROUP, LLC

Doing Business As: REAGIN OPTOMETRIC GROUP

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
104 CHURCH ST
DECATUR, GA
ZIP 30030
Phone: (404) 378-3694
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REAGIN DECATUR GROUP, LLC is a health service clinic center in Decatur, GA. REAGIN DECATUR GROUP, LLC NPI is 1770002693. The provider is registered as an organization entity type.
The provider Is Doing Business As Reagin Optometric Group.

The provider's business location address is:

104 CHURCH ST
DECATUR, GA
ZIP 30030-325
Phone: (404) 378-3694

The provider's authorized official is Gavin Meyers .
The authorized official title is Vp and has the following contact phone number (917) 575-9256.

The enumeration date for this NPI number is 9/12/2017 and was last updated on 7/21/2022.


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
1261QH0100XClinic/CenterHealth ServiceYes

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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