Optical Shop At Athens Eye Associates, Inc.

LBN: Optical Shop At Athens Eye Associates, Inc.
Optical Shop At Athens Eye Associates, Inc. is an health care organization with primary practice located at 1080 Vend Dr Suite 100, Bogart GA 30622-3051. 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. Optical Shop At Athens Eye Associates, Inc. can be contacted via phone (706) 549-7047, or through Jacobs, Michael S. via phone (706) 549-7047.

Contact Information

Primary practice address
1080 Vend Dr Suite 100 Bogart GA 30622-3051
Fax: (706) 613-5395
Website:
Authorized official contact:
Name: Jacobs, Michael S. Doctor of Medicine (MD)

Health care specialties

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

Profile Details

NPI number 1407094261
LBN Legal business name Optical Shop At Athens Eye Associates, Inc.
DBA Doing business as
Authorized official Jacobs, Michael S. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 31st, 2009
Last updated Aug 29th, 2012 - about 14 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 1407094261 NPPES
Georgia Other 6325700001 HUMANA
Georgia Other 6325700001 HUMANA

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