| Lee County Optical Llc | |
|
1569 Highway 19 South, Leesburg, GA 31763 | |
| (229) 439-1200 | |
| (229) 255-2929 |
| Full Name | Lee County Optical Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1569 Highway 19 South, Leesburg, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255649273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT002136 (Georgia) | Primary |
| Provider Name | Renee C Gordon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376539445 PECOS PAC ID: 0648164327 Enrollment ID: I20040212000368 |
| Provider Name | Eric Gordon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982739595 PECOS PAC ID: 1658553672 Enrollment ID: I20110314000154 |
| Mailing Address | Practice Location Address |
|---|---|
| Lee County Optical Llc 1569 Highway 19 South, Leesburg, GA 31763-4399 Ph: (229) 439-1200 | Lee County Optical Llc 1569 Highway 19 South, Leesburg, GA 31763 Ph: (229) 439-1200 |
Regional Eye Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 101 Park St, Ste A, Leesburg, GA 31763 Phone: 229-759-0028 Fax: 229-759-0058 | |
Dr. Renee Candace Ahlmark-gordon, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1569 Us Highway 19 S, Leesburg, GA 31763 Phone: 229-439-1200 Fax: 229-255-2929 | |
Anna Louise Britt, OD Optometrist Medicare: Medicare Enrolled Practice Location: 118 Robert B Lee Dr, Leesburg, GA 31763 Phone: 229-759-6508 | |
Kurtz Enterprise Holdings Llc Optometrist Medicare: Medicare Enrolled Practice Location: 130 Hawkstead Dr, Leesburg, GA 31763 Phone: 706-718-9785 | |
Eric Scott Gordon, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1569 Us Highway 19 S, Leesburg, GA 31763 Phone: 229-439-1200 Fax: 229-255-2929 |