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
Phone: (770) 474-1237
Fax: (770) 474-5224
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073730263 | NPPES |
| Georgia | MEDICAID | 780035508D | |
| Georgia | MEDICAID | 000493149B |
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