Fayette Medical Clinic Optical Shop

LBN: Fayette Medical Clinic Optical Shop
Fayette Medical Clinic Optical Shop is an health care organization with primary practice located at 101 Yorktown Dr Ste 225 , Fayetteville GA 30214-1568. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Fayette Medical Clinic Optical Shop can be contacted via phone (770) 460-2331, or through Rodecker, Rick via phone (404) 351-2220.

Contact Information

Primary practice address
101 Yorktown Dr Ste 225 Fayetteville GA 30214-1568
Phone: (770) 460-2331
Fax: (770) 460-4016
Website:
Map and Directions
Authorized official contact:
Name: Rodecker, Rick
Phone: (404) 351-2220

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 20001558 Georgia

Profile Details

NPI number 1891910618
LBN Legal business name Fayette Medical Clinic Optical Shop
DBA Doing business as
Authorized official Rodecker, Rick
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2007
Last updated Jun 3rd, 2021 - about 3 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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