Depoe Eye Center Pc

LBN: Depoe Eye Center Pc
Depoe Eye Center Pc is an health care organization with primary practice located at 550 Eagles Landing Pkwy Ste 208 , Stockbridge GA 30281-9082. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Depoe Eye Center Pc can be contacted via phone (770) 474-1237, or through Wright, Tammy Michelle via phone (770) 474-1237.

Contact Information

Primary practice address
550 Eagles Landing Pkwy Ste 208 Stockbridge GA 30281-9082
Fax: (770) 474-5224
Website:
Authorized official contact:
Name: Wright, Tammy Michelle

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT001305 Georgia

Profile Details

NPI number 1073730263
LBN Legal business name Depoe Eye Center Pc
DBA Doing business as
Authorized official Wright, Tammy Michelle
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2007
Last updated Dec 19th, 2025 - about last year

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 1073730263 NPPES
Georgia MEDICAID 780035508D
Georgia MEDICAID 000493149B

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