Gina R Durant is a
Optometrist based in Louisville, Georgia. Gina R Durant is licensed to practice in Georgia (license number 1272-T) and their current practice location is
144 E Broad St, Louisville, Georgia. It can be reached at their office (for appointments etc.) via phone at
(478) 625-7605.
NPI number for Gina R Durant is 1629276464 and their current mailing address is 144 E Broad St, Louisville, Georgia. Gina R Durant
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1629276464.
Healthcare Provider's Profile
| Full Name | Gina R Durant |
|---|
| Type | Facility |
|---|
| Speciality | Optometrist |
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| Location | 144 E Broad St, Louisville, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1629276464
- Provider Enumeration Date: 07/03/2007
- Last Update Date: 02/20/2013
Medical Identifiers
Medical identifiers for Gina R Durant such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629276464 | NPI | - | NPPES |
| 000479674B | Medicaid | GA | |
| 00515193B | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 1272-T (Georgia) | Primary |
| 152W00000X | Optometrist | 1273-T (Georgia) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gina R Durant is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Gina R Durant
144 E Broad St,
Louisville, GA 30434-1620
Ph: (478) 625-7605 | Gina R Durant
144 E Broad St,
Louisville, GA 30434-1620
Ph: (478) 625-7605 |
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