Fayette Eye Center Pc

LBN: Fayette Eye Center Pc
Fayette Eye Center Pc is an health care organization with primary practice located at 320 N Jeff Davis Drive Suite A, Fayetteville GA 30214-1669. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Fayette Eye Center Pc can be contacted via phone (770) 461-2633, or through Caudelle, Robert K via phone (770) 461-2633.

Contact Information

Primary practice address
320 N Jeff Davis Drive Suite A Fayetteville GA 30214-1669
Fax: (770) 461-5792
Website:
Authorized official contact:
Name: Caudelle, Robert K Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X GA1043 Georgia

Profile Details

NPI number 1881871226
LBN Legal business name Fayette Eye Center Pc
DBA Doing business as
Authorized official Caudelle, Robert K Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2008
Last updated Jul 28th, 2010 - about 14 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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