Eye Specialists Of America, Llc | |
1620 Prince Ave Athens GA 30606-6008 | |
(706) 546-0170 | |
(706) 546-5015 |
Full Name | Eye Specialists Of America, Llc |
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Speciality | Clinic/Center |
Location | 1620 Prince Ave, Athens, Georgia |
Authorized Official Name and Position | Centrael T Evans (MANAGING MEMBER) |
Authorized Official Contact | 7065460170 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Eye Specialists Of America, Llc 1620 Prince Ave Athens GA 30606-6008 Ph: () - | Eye Specialists Of America, Llc 1620 Prince Ave Athens GA 30606-6008 Ph: (706) 546-0170 |
NPI Number | 1710670286 |
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Provider Enumeration Date | 05/31/2023 |
Last Update Date | 07/18/2023 |
Medicare PECOS PAC ID | 4880043686 |
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Medicare Enrollment ID | O20231205002509 |
Identifier | Type | State | Issuer |
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1710670286 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | David Eghigian |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1467459057 PECOS PAC ID: 6406879691 Enrollment ID: I20231002000493 |
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