| Fitzgerald Family Eyecare, P.c. | |
|
1329 Ocilla Rd, Douglas, GA 31533-2213 | |
| (912) 393-0005 | |
| (912) 393-0058 |
| Full Name | Fitzgerald Family Eyecare, P.c. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1329 Ocilla Rd, Douglas, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114938727 | NPI | - | NPPES |
| 535526348B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT002104 (Georgia) | Primary |
| Provider Name | Ellen D Fitzgerald |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629089222 PECOS PAC ID: 4486545753 Enrollment ID: I20040324000809 |
| Provider Name | Kenneth Trevor Shealy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104436922 PECOS PAC ID: 7618388570 Enrollment ID: I20201124003123 |
| Mailing Address | Practice Location Address |
|---|---|
| Fitzgerald Family Eyecare, P.c. 1329 Ocilla Rd, Douglas, GA 31533-2213 Ph: (912) 393-0005 | Fitzgerald Family Eyecare, P.c. 1329 Ocilla Rd, Douglas, GA 31533-2213 Ph: (912) 393-0005 |
Dr. Mark D Moore, OD Optometrist Medicare: Medicare Enrolled Practice Location: 504 Peterson Ave S, Douglas, GA 31533 Phone: 912-389-1230 Fax: 912-389-1260 | |
Larry E. Forth O.d.p.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 200 Doctors Drive, Suite 105, Douglas, GA 31533 Phone: 912-384-1840 Fax: 912-384-5976 | |
Dr. Kevin Adam Murphy, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 305 Shirley Ave, Douglas, GA 31533 Phone: 912-383-7212 Fax: 912-384-4924 | |
Mihai Mocanu, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1450 Bowens Mill Rd Se, Douglas, GA 31533 Phone: 912-384-0119 | |
Dr. Ellen Drury Fitzgerald, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1329 Ocilla Rd, Douglas, GA 31533 Phone: 912-393-0005 Fax: 912-393-0058 | |
South Georgia Eye Partners Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 200 Doctors Dr, Suite 290, Douglas, GA 31533 Phone: 912-393-0055 Fax: 912-384-5976 |