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RUSSELL D SPRINGER P.C. NPI 1780851170


NPI Information

NPI: 1780851170
Provider Name: RUSSELL D SPRINGER, P.C.

Doing Business As: ATHENS FAMILY VISION CLINIC

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

CLIA Number: 11D2296436

Address:
1000 HAWTHORNE AVE
STE A
ATHENS, GA
ZIP 30606
Phone: (706) 543-3599
Get Directions

RUSSELL D SPRINGER, P.C. is a medical specialty clinic center in Athens, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). RUSSELL D SPRINGER, P.C. NPI is 1780851170. The provider is registered as an organization entity type.
The provider Is Doing Business As Athens Family Vision Clinic.

The provider's business location address is:

1000 HAWTHORNE AVE
STE A
ATHENS, GA
ZIP 30606-168
Phone: (706) 543-3599
Fax: (706) 543-8681

The provider's authorized official is Russell Douglas Springer .
The authorized official title is Ceo and has the following contact phone number (706) 543-3599.

The CLIA number assigned to this NPI record is 11D2296436 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/14/2008 and was last updated on 10/15/2011.


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
1332H00000XEyewear Supplier001619GEORGIANo
2261QM2500XClinic/CenterMedical SpecialtyYes

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
100772098AMEDICAIDGEORGIA
241ZCDGCMEDICARE PIN
3U68460MEDICARE UPIN

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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