Optical Associates Of South Ga Llp

LBN: Optical Associates Of South Ga Llp
Optical Associates Of South Ga Llp is an health care organization with primary practice located at 3024 N Patterson St , Valdosta GA 31602-1711. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Optical Associates Of South Ga Llp can be contacted via phone (229) 247-0447, or through Courtenay, Clifford D via phone (229) 247-4114.

Contact Information

Primary practice address
3024 N Patterson St Valdosta GA 31602-1711
Phone: (229) 247-0447
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Courtenay, Clifford D Doctor of Optometry (OD)
Phone: (229) 247-4114

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT001045 Georgia

Profile Details

NPI number 1538377270
LBN Legal business name Optical Associates Of South Ga Llp
DBA Doing business as
Authorized official Courtenay, Clifford D Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2007
Last updated Sep 9th, 2013 - 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 1538377270 NPPES
Georgia MEDICAID 000317138J

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