Eye Institute Of North Georgia, Pc

LBN: Eye Institute Of North Georgia, Pc
Eye Institute Of North Georgia, Pc is an health care organization with primary practice located at 299 Hurricane Shoals Rd Nw , Lawrenceville GA 30045-4420. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Eye Institute Of North Georgia, Pc can be contacted via phone (770) 339-6085, or through Freeman, Ray M via phone (770) 339-6085.

Contact Information

Primary practice address
299 Hurricane Shoals Rd Nw Lawrenceville GA 30045-4420
Phone: (770) 339-6085
Fax: (770) 339-6146
Website:
Map and Directions
Authorized official contact:
Name: Freeman, Ray M Doctor of Medicine (MD)
Phone: (770) 339-6085

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 032186 Georgia

Profile Details

NPI number 1871611707
LBN Legal business name Eye Institute Of North Georgia, Pc
DBA Doing business as
Authorized official Freeman, Ray M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2007
Last updated Feb 22nd, 2012 - about 12 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 1871611707 NPPES
Georgia MEDICAID 00412893A

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