Tippett Eyecare, Pc

LBN: Tippett Eyecare, Pc
Tippett Eyecare, Pc is an health care organization with primary practice located at 2465 Wrightsboro Rd , Augusta GA 30904-6244. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Tippett Eyecare, Pc can be contacted via phone (706) 738-1102, or through Carraway, Annette via phone (706) 738-1102.

Contact Information

Primary practice address
2465 Wrightsboro Rd Augusta GA 30904-6244
Fax: (706) 738-1149
Website:
Authorized official contact:
Name: Carraway, Annette

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X GA1296T Georgia

Profile Details

NPI number 1659684975
LBN Legal business name Tippett Eyecare, Pc
DBA Doing business as
Authorized official Carraway, Annette
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2010
Last updated Aug 2nd, 2012 - about 12 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 1659684975 NPPES
Georgia MEDICAID 00618549A
Georgia Other 1213300001

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