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SCOT A. WALL MD PC NPI 1801923180


NPI Information

NPI: 1801923180
Provider Name: SCOT A. WALL, MD, PC

Doing Business As: WALL EYE CARE ASSOCIATES

Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
716 E 16TH AVE STE C
CORDELE, GA
ZIP 31015
Phone: (229) 273-2395
Get Directions

SCOT A. WALL, MD, PC is an ophthalmology in Cordele, GA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. SCOT A. WALL, MD, PC NPI is 1801923180. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wall Eye Care Associates.

The provider's business location address is:

716 E 16TH AVE STE C
CORDELE, GA
ZIP 31015-517
Phone: (229) 273-2395
Fax: (229) 273-2393

The provider's authorized official is Scot A Wall .
The authorized official title is President and has the following contact phone number (229) 888-2395.

The enumeration date for this NPI number is 2/27/2007 and was last updated on 2/26/2008.


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
1152W00000XOptometristNo
2207W00000XOphthalmologyYes

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
1GRP1833MEDICARE ID-TYPE UNSPECIFIEDGEORGIAMEDICARE GROUP NUMBER
2CI4690MEDICARE PIN

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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