Dr Chris J Coffini, OD | |
1192 Dogwood Dr Se, Conyers, GA 30012-5454 | |
(770) 860-1919 | |
Not Available |
Full Name | Dr Chris J Coffini |
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Gender | Male |
Speciality | Optometrist |
Location | 1192 Dogwood Dr Se, Conyers, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003866682 | NPI | - | NPPES |
38608100 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2780 (Wisconsin) | Secondary |
152W00000X | Optometrist | OPT003569 (Georgia) | Primary |
Provider Name | East Georgia Eyecare, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1811024045 PECOS PAC ID: 7618968413 Enrollment ID: O20040520000835 |
Mailing Address | Practice Location Address |
---|---|
Dr Chris J Coffini, OD 1192 Dogwood Dr Se, Conyers, GA 30012-5454 Ph: (770) 860-1919 | Dr Chris J Coffini, OD 1192 Dogwood Dr Se, Conyers, GA 30012-5454 Ph: (770) 860-1919 |
Menae Miller, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1436 Dogwood Dr Se, Conyers, GA 30013 Phone: 770-860-9103 Fax: 770-860-8995 | |
Dr. David Jeffrey Wasserman, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1192 Dogwood Dr Sw, Conyers, GA 30012 Phone: 770-860-1919 Fax: 770-860-1607 | |
R Wayne Baker Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1455aold Mc Donough Rd, Conyers, GA 30094 Phone: 770-922-4900 Fax: 770-922-1563 | |
Eastmetro Eyecare P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1013 E Freeway Dr Se, Conyers, GA 30094 Phone: 770-922-7906 Fax: 770-483-0498 | |
Dr. Robert Burns, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1013 East Freeway Drive, Conyers, GA 30094 Phone: 770-922-7906 Fax: 770-483-0498 |