Ellen Drury Fitzgerald in Douglas - Optometrist
Ellen Drury Fitzgerald - NPI 1629089222
Ellen Drury Fitzgerald is a Optometrist in Douglas, Georgia. Ellen Drury Fitzgerald practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Ellen Drury Fitzgerald is 1629089222. The last update date is 2022-07-29.
Ellen Drury Fitzgerald's current location address is 1329 Ocilla Rd, Douglas, Georgia. You can contact this provider via phone number 9123930005 and fax number 9123930058. The mailing address for Ellen Drury Fitzgerald is 1329 Ocilla Rd, Douglas, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellen Drury Fitzgerald |
|---|---|
| Address | 1329 Ocilla Rd, Douglas, Georgia |
| Phone Number | 9123930005 |
| Fax Number | 9123930058 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1629089222 |
|---|---|
| Provider Enumeration Date | 2006-08-10 |
| Last Updated Date | 2022-07-29 |
Provider Mailing Address Detail
| Address | 1329 Ocilla Rd |
|---|---|
| City | Douglas |
| State | Georgia (GA) |
| Post Code | 315332213 |
| Phone Number | 9123930005 |
| Fax Number | 9123930058 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | OPT002104 |
|
Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 535526348B | GA | -- | |
| 7298815 | GA | AETNA | |
| VGA001714 | GA | AVESIS | |
| 52144366-003 | GA | BCBS | |
| 101527 | GA | -- | |
| 202177960 | GA | TAX ID |
Post Comment/ Review Below
What is the Ellen Drury Fitzgerald's unique identification number?
The Ellen Drury Fitzgerald has been assigned the NPI (National Provider Identifier) Number 1629089222 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Ellen Drury Fitzgerald is physically located?
The Ellen Drury Fitzgerald is physically situated at the following address: 1329 Ocilla Rd, Douglas, GA, 315332213.
What is Ellen Drury Fitzgerald's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ellen Drury Fitzgerald is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.
On what date did the Ellen Drury Fitzgerald receive its 1629089222 assignment from the Centers for Medicare & Medicaid Services?
The Ellen Drury Fitzgerald was assigned its 1629089222 by the Centers for Medicare & Medicaid Services on 2006-08-10.
As of what date were the details pertaining to Ellen Drury Fitzgerald last refreshed?
The information related to the Ellen Drury Fitzgerald, including its address, specialty, and other relevant details, was last updated on 2022-07-29.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN