North Georgia Vision Center Inc | |
8390 N Highway 27, Rock Spring, GA 30739-2103 | |
(706) 375-1720 | |
(706) 375-1729 |
Full Name | North Georgia Vision Center Inc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 8390 N Highway 27, Rock Spring, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952569279 | NPI | - | NPPES |
205370293 | Other | NVA | |
41ZCGGN | Other | GA | MEDICARE |
59526 | Other | DAVIS VISION | |
911517 | Other | EYE MED | |
4115539 | Other | TN | BCBS |
45460 | Other | SPECTERA | |
101846 | Other | AVESIS | |
33901 | Other | OPTI CARE | |
41ZCGGN | Other | MEDICARE GA | |
194699738A | Other | MEDICARE GA | |
927618 | Other | BLOCK VISION LOCATION NUMBER 114419 | |
194699738A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT002352 (Georgia) | Primary |
152W00000X | Optometrist | OD0000002478 (Tennessee) | Secondary |
Provider Name | Stephen B Clark |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1952300832 PECOS PAC ID: 5496742959 Enrollment ID: I20070222000212 |
Mailing Address | Practice Location Address |
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North Georgia Vision Center Inc 8390 N Highway 27, Rock Spring, GA 30739-2103 Ph: (706) 375-1720 | North Georgia Vision Center Inc 8390 N Highway 27, Rock Spring, GA 30739-2103 Ph: (706) 375-1720 |
Stephen Brent Clark, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8390 North Hwy 27, Rock Spring, GA 30739 Phone: 706-375-1720 Fax: 706-375-1729 |