Advanced Eyecare Of Georgia Pc

LBN: Advanced Eyecare Of Georgia Pc
Advanced Eyecare Of Georgia Pc is an health care organization with primary practice located at 1569 N Expressway , Griffin GA 30223-1746. The organization recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as the primary health care specialty. Advanced Eyecare Of Georgia Pc can be contacted via phone (770) 233-6860, or through Baldwin, John William via phone (770) 233-6860.

Contact Information

Primary practice address
1569 N Expressway Griffin GA 30223-1746
Fax:
Website:
Authorized official contact:
Name: Baldwin, John William Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 819T Georgia

Profile Details

NPI number 1841383122
LBN Legal business name Advanced Eyecare Of Georgia Pc
DBA Doing business as
Authorized official Baldwin, John William Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2006
Last updated Aug 27th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841383122 NPPES
Georgia MEDICAID 55413554SA

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