Edward H Pottlitzer Od Pc

LBN: Edward H Pottlitzer Od Pc
Edward H Pottlitzer Od Pc is an health care organization with primary practice located at 2911 Chapel Hill Rd Suite 210, Douglasville GA 30135. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Edward H Pottlitzer Od Pc can be contacted via phone (770) 949-4223, or through Pottlitzer, Edward Herman via phone (770) 949-4223.

Contact Information

Primary practice address
2911 Chapel Hill Rd Suite 210 Douglasville GA 30135
Phone: (770) 949-4223
Fax: (770) 949-4994
Website:
Map and Directions
Authorized official contact:
Name: Pottlitzer, Edward Herman Doctor of Optometry (OD)
Phone: (770) 949-4223

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT000700 Georgia

Profile Details

NPI number 1124151907
LBN Legal business name Edward H Pottlitzer Od Pc
DBA Doing business as
Authorized official Pottlitzer, Edward Herman Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1124151907 NPPES
Georgia MEDICAID 79949

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