Optometry Clinic, Inc.

LBN: Optometry Clinic, Inc.
Optometry Clinic, Inc. is an health care organization with primary practice located at 9220 Marne Rd , Fort Benning GA 31905-5515. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Optometry Clinic, Inc. can be contacted via phone (706) 682-3938, or through Patel, Smitesh Jay via phone (706) 507-3937.

Contact Information

Primary practice address
9220 Marne Rd Fort Benning GA 31905-5515
Fax: (706) 682-3931
Website:
Authorized official contact:
Name: Patel, Smitesh Jay

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X GA OPT1868 Georgia

Profile Details

NPI number 1083855704
LBN Legal business name Optometry Clinic, Inc.
DBA Doing business as
Authorized official Patel, Smitesh Jay
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2009
Last updated Aug 23rd, 2022 - about 4 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 1083855704 NPPES
Georgia MEDICAID 404896730A

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