Mobley Riverdale Eye Clinic Inc

LBN: Mobley Riverdale Eye Clinic Inc
Mobley Riverdale Eye Clinic Inc is an health care organization with primary practice located at 539 Glynn St N Suite A, Fayetteville GA 30214-1108. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Mobley Riverdale Eye Clinic Inc can be contacted via phone (678) 817-7722, or through Mobley, B. Dean via phone (678) 817-7722.

Contact Information

Primary practice address
539 Glynn St N Suite A Fayetteville GA 30214-1108
Phone: (678) 817-7722
Fax: (678) 817-0067
Website:
Map and Directions
Authorized official contact:
Name: Mobley, B. Dean Doctor of Optometry (OD)
Phone: (678) 817-7722

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 912T Georgia

Profile Details

NPI number 1407027683
LBN Legal business name Mobley Riverdale Eye Clinic Inc
DBA Doing business as
Authorized official Mobley, B. Dean Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2008
Last updated Sep 12th, 2011 - about 13 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 1407027683 NPPES
Georgia MEDICAID 00214629C

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