Blue Laser Group in Bogart - Ophthalmology

Blue Laser Group - NPI 1659308872

Blue Laser Group is a Ophthalmology in Bogart, Georgia. Blue Laser Group practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Blue Laser Group is 1659308872. The last update date is 2023-03-07.

Blue Laser Group's current location address is 1747 Langford Drive, Bogart, Georgia. You can contact this provider via phone number 7065490005 and fax number 7068503180. The mailing address for Blue Laser Group is 1747 Langford Drive, Bogart, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Blue Laser Group
Address 1747 Langford Drive, Bogart, Georgia
Phone Number 7065490005
Fax Number 7068503180
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OPTHALMOLO
Authorized Official Name Blue Howard Richard
Credentials M.D.
Telephone Number 7065490005

NPI Number Detail

NPI Number 1659308872
Provider Enumeration Date 2006-06-26
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 1747 Langford Drive
City Bogart
State Georgia (GA)
Post Code 30622
Phone Number 7065490005
Fax Number 7068503180

Provider's Primary Taxonomy Detail

Speciality Ophthalmology
Taxonomy 207W00000X
Licence No 27348
Definition:
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
27348 GA GA LICENCE
00301793A GA --

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FAQs about Blue Laser Group

What is the unique 10-digit identifier code assigned to Blue Laser Group by the Centers for Medicare & Medicaid Services?

The Blue Laser Group has been issued the NPI (National Provider Identifier) 1659308872 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Blue Laser Group's facilities are situated?

The facilities of Blue Laser Group are physically located at the following address: 1747 Langford Drive, Bogart, GA, 30622.

What is Blue Laser Group's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Blue Laser Group is Ophthalmology, and the corresponding taxonomy classification code for this specialized field is 207W00000X.

On what date did Blue Laser Group receive its 1659308872 assignment from the Centers for Medicare & Medicaid Services?

The Blue Laser Group was assigned its 1659308872 on 2006-06-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Blue Laser Group's details last updated?

The information pertaining to the Blue Laser Group, including its address, specialty, and other details, was most recently updated on 2023-03-07.

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