Dr Philip Shaffer, OD | |
1230 Bald Ridge Marina Rd Ste 100, Cumming, GA 30041-7950 | |
(770) 292-1999 | |
Not Available |
Full Name | Dr Philip Shaffer |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 12 Years |
Location | 1230 Bald Ridge Marina Rd Ste 100, Cumming, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205188844 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 18003734A (Indiana) | Secondary |
152W00000X | Optometrist | OPT003486 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gainesville Eye Associates, L.l.c. | 2860486438 | 19 |
Provider Name | Gainesville Eye Associates, L.l.c. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285617647 PECOS PAC ID: 2860486438 Enrollment ID: O20040414001390 |
Provider Name | North Georgia Eye Clinic Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1497882500 PECOS PAC ID: 8022099175 Enrollment ID: O20040526000127 |
Mailing Address | Practice Location Address |
---|---|
Dr Philip Shaffer, OD 1230 Bald Ridge Marina Rd Ste 100, Cumming, GA 30041-7950 Ph: () - | Dr Philip Shaffer, OD 1230 Bald Ridge Marina Rd Ste 100, Cumming, GA 30041-7950 Ph: (770) 292-1999 |
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