Fitzgerald Family Eyecare, P.C.

LBN: Fitzgerald Family Eyecare, P.C.
Fitzgerald Family Eyecare, P.C. is an health care organization with primary practice located at 1329 Ocilla Rd , Douglas GA 31533-2213. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Fitzgerald Family Eyecare, P.C. can be contacted via phone (912) 393-0005, or through Fitzgerald, Ellen Drury via phone (912) 393-0005.

Contact Information

Primary practice address
1329 Ocilla Rd Douglas GA 31533-2213
Phone: (912) 393-0005
Fax: (912) 393-0058
Website:
Map and Directions
Authorized official contact:
Name: Fitzgerald, Ellen Drury Doctor of Optometry (OD)
Phone: (912) 393-0005

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT002104 Georgia

Profile Details

NPI number 1114938727
LBN Legal business name Fitzgerald Family Eyecare, P.C.
DBA Doing business as
Authorized official Fitzgerald, Ellen Drury Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Jul 29th, 2022 - about 2 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 1114938727 NPPES
Georgia MEDICAID 535526348B

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