Durant Eye Care | |
300 W 4th St, Waynesboro, GA 30830-1511 | |
(706) 554-2020 | |
(706) 554-2020 |
Full Name | Durant Eye Care |
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Type | Facility |
Speciality | Optometrist |
Location | 300 W 4th St, Waynesboro, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528265691 | NPI | - | NPPES |
00515193D | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 1272-T (Georgia) | Primary |
152W00000X | Optometrist | 1273-T (Georgia) | Secondary |
Provider Name | Gina Durant |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1811085707 PECOS PAC ID: 0941386825 Enrollment ID: I20080319000076 |
Provider Name | Alan Dwayne Durant |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1245323054 PECOS PAC ID: 6406933019 Enrollment ID: I20080407000616 |
Mailing Address | Practice Location Address |
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Durant Eye Care 300 W 4th St, Waynesboro, GA 30830-1511 Ph: (706) 554-2020 | Durant Eye Care 300 W 4th St, Waynesboro, GA 30830-1511 Ph: (706) 554-2020 |
Dr. Alan Dwayne Durant, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 300 W 4th St, Waynesboro, GA 30830 Phone: 706-554-2020 | |
Dr. Gina Ruth Durant, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 300 W 4th St, Waynesboro, GA 30830 Phone: 706-554-2020 Fax: 706-554-2020 |