| Imhoff Eye Center | |
|
3215 Shrine, Suite 6, Brunswick, GA 31520 | |
| (912) 267-0565 | |
| (912) 267-0545 |
| Full Name | Imhoff Eye Center |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 3215 Shrine, Brunswick, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366540007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT001640 (Georgia) | Secondary |
| 207W00000X | Ophthalmology | 023995 (Georgia) | Primary |
| Provider Name | Darel C Edwards |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639162175 PECOS PAC ID: 6406933415 Enrollment ID: I20081114000588 |
| Provider Name | Richard A Vandevelde |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396757480 PECOS PAC ID: 5991978850 Enrollment ID: I20111109000676 |
| Provider Name | John E Imhoff |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1669480513 PECOS PAC ID: 8527157577 Enrollment ID: I20111206000504 |
| Provider Name | Clyde Price |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1518903608 PECOS PAC ID: 1850434762 Enrollment ID: I20120806000910 |
| Provider Name | Jackie H Johnson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679707541 PECOS PAC ID: 8527200153 Enrollment ID: I20130812000580 |
| Mailing Address | Practice Location Address |
|---|---|
| Imhoff Eye Center 3215 Shrine, Suite 6, Brunswick, GA 31520 Ph: (912) 267-0565 | Imhoff Eye Center 3215 Shrine, Suite 6, Brunswick, GA 31520 Ph: (912) 267-0565 |