Pine Mountain Eye Care

LBN: Pine Mountain Eye Care
Pine Mountain Eye Care is an health care organization with primary practice located at 414 S Main Ave , Pine Mountain GA 31822-2355. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Pine Mountain Eye Care can be contacted via phone (706) 663-2600, or through Smith, Mark P via phone (706) 663-2600.

Contact Information

Primary practice address
414 S Main Ave Pine Mountain GA 31822-2355
Phone: (706) 663-2600
Fax: (706) 663-7632
Website:
Map and Directions
Authorized official contact:
Name: Smith, Mark P Doctor of Optometry (OD)
Phone: (706) 663-2600

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT001254 Georgia

Profile Details

NPI number 1538382171
LBN Legal business name Pine Mountain Eye Care
DBA Doing business as
Authorized official Smith, Mark P Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2007
Last updated Jan 28th, 2011 - about 15 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 1538382171 NPPES
Georgia Other P00253929 RAILROAD MEDICARE
Georgia MEDICAID 00451162G RAILROAD MEDICARE

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