Fayette Medical Clinic Optical Shop in Fayetteville - Ophthalmology
Fayette Medical Clinic Optical Shop - NPI 1891910618
Fayette Medical Clinic Optical Shop is a Ophthalmology in Fayetteville, Georgia. Fayette Medical Clinic Optical Shop practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Fayette Medical Clinic Optical Shop is 1891910618. The last update date is 2021-06-03.
Fayette Medical Clinic Optical Shop's current location address is 101 Yorktown Dr Ste 225, Fayetteville, Georgia. You can contact this provider via phone number 7704602331 and fax number 7704604016. The mailing address for Fayette Medical Clinic Optical Shop is 101 Yorktown Dr Ste 225, Fayetteville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fayette Medical Clinic Optical Shop |
|---|---|
| Address | 101 Yorktown Dr Ste 225, Fayetteville, Georgia |
| Phone Number | 7704602331 |
| Fax Number | 7704604016 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Rodecker Rick |
| Telephone Number | 4043512220 |
NPI Number Detail
| NPI Number | 1891910618 |
|---|---|
| Provider Enumeration Date | 2007-04-16 |
| Last Updated Date | 2021-06-03 |
Provider Mailing Address Detail
| Address | 101 Yorktown Dr Ste 225 |
|---|---|
| City | Fayetteville |
| State | Georgia (GA) |
| Post Code | 302141568 |
| Phone Number | 7704602331 |
| Fax Number | 7704604016 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | 20001558 |
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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 |
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What is the Fayette Medical Clinic Optical Shop's 1891910618?
The Fayette Medical Clinic Optical Shop's NPI (National Provider Identifier) Number is 1891910618. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Fayette Medical Clinic Optical Shop's facilities are geographically located?
The facilities of Fayette Medical Clinic Optical Shop are physically situated at the following location: 101 Yorktown Dr Ste 225, Fayetteville, GA, 302141568.
What is the area of specialization for Fayette Medical Clinic Optical Shop, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Fayette Medical Clinic Optical Shop is Ophthalmology, and the corresponding taxonomy code that categorizes this area of expertise is 207W00000X.
On what date did the Fayette Medical Clinic Optical Shop receive its 1891910618 assignment from the Centers for Medicare & Medicaid Services?
The Fayette Medical Clinic Optical Shop was assigned its 1891910618 by the Centers for Medicare & Medicaid Services on 2007-04-16.
When was the information related to Fayette Medical Clinic Optical Shop most recently updated or refreshed?
The details pertaining to the Fayette Medical Clinic Optical Shop, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-06-03.
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