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ATHENS EYE ASSOCIATES NPI 1871522045


NPI Information

NPI: 1871522045
Provider Name: ATHENS EYE ASSOCIATES
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1080 VEND DR
SUITE 100
WATKINSVILLE, GA
ZIP 30677
Phone: (706) 549-7047
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ATHENS EYE ASSOCIATES is a specialist in Watkinsville, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ATHENS EYE ASSOCIATES NPI is 1871522045. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1080 VEND DR
SUITE 100
WATKINSVILLE, GA
ZIP 30677-751
Phone: (706) 549-7047
Fax: (706) 613-5395

The provider's authorized official is Michael S Jacobs .
The authorized official title is Owner and has the following contact phone number (706) 549-7047.

The enumeration date for this NPI number is 7/1/2006 and was last updated on 9/10/2014.


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
1174400000XSpecialist053926GEORGIAYes

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
1GRP3531MEDICARE ID-TYPE UNSPECIFIEDGEORGIAGROUP ID
2P00131029OTHERGEORGIARAILROAD RETIREMENT

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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