Premier Ophthalmology, Llc

LBN: Premier Ophthalmology, Llc
Premier Ophthalmology, Llc is an health care organization with primary practice located at 7170 Highway 278 Ne Suite B, Covington GA 30014-1529. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Premier Ophthalmology, Llc can be contacted via phone (770) 787-6200, or through Jacoby, Bradley G via phone (770) 787-6200.

Contact Information

Primary practice address
7170 Highway 278 Ne Suite B Covington GA 30014-1529
Phone: (770) 787-6200
Fax: (770) 787-2643
Website:
Map and Directions
Authorized official contact:
Name: Jacoby, Bradley G Doctor of Medicine (MD)
Phone: (770) 787-6200

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 6856 Georgia

Profile Details

NPI number 1548315252
LBN Legal business name Premier Ophthalmology, Llc
DBA Doing business as
Authorized official Jacoby, Bradley G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2007
Last updated Aug 2nd, 2012 - 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 1548315252 NPPES
Georgia MEDICAID 000326697B

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