Dixophthal Pc

LBN: Dixophthal Pc
Dixophthal Pc is an health care organization with primary practice located at 806 N Jefferson St , Albany GA 31701-2363. The organization recently has only one registered license in Eye and Vision Services Providers / Ophthalmic, which is considered as the primary health care specialty. Dixophthal Pc can be contacted via phone (229) 439-7700, or through Dixon, El-Roy Dec via phone (229) 439-7700.

Contact Information

Primary practice address
806 N Jefferson St Albany GA 31701-2363
Fax: (229) 439-7283
Website:
Authorized official contact:
Name: Dixon, El-Roy Dec Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Ophthalmic 156FX1100X 040367 Georgia

Profile Details

NPI number 1801956909
LBN Legal business name Dixophthal Pc
DBA Doing business as
Authorized official Dixon, El-Roy Dec Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2006
Last updated Mar 24th, 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 1801956909 NPPES
Georgia MEDICAID 000656719H
Georgia MEDICAID 000656719J
Georgia MEDICAID 000656719I

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