| North Georgia Vision Center Inc | |
|
8390 N Highway 27, Rock Spring, GA 30739-2103 | |
| (706) 375-1720 | |
| (706) 375-1729 |
| Full Name | North Georgia Vision Center Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 8390 N Highway 27, Rock Spring, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952569279 | NPI | - | NPPES |
| 205370293 | Other | NVA | |
| 41ZCGGN | Other | GA | MEDICARE |
| 59526 | Other | DAVIS VISION | |
| 911517 | Other | EYE MED | |
| 4115539 | Other | TN | BCBS |
| 45460 | Other | SPECTERA | |
| 101846 | Other | AVESIS | |
| 33901 | Other | OPTI CARE | |
| 41ZCGGN | Other | MEDICARE GA | |
| 194699738A | Other | MEDICARE GA | |
| 927618 | Other | BLOCK VISION LOCATION NUMBER 114419 | |
| 194699738A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OD0000002478 (Tennessee) | Secondary |
| 152W00000X | Optometrist | OPT002352 (Georgia) | Primary |
| Provider Name | Stephen B Clark |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952300832 PECOS PAC ID: 5496742959 Enrollment ID: I20070222000212 |
| Provider Name | Jodi S Holbrook |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225089758 PECOS PAC ID: 3375561202 Enrollment ID: I20240828001295 |
| Mailing Address | Practice Location Address |
|---|---|
| North Georgia Vision Center Inc 8390 N Highway 27, Rock Spring, GA 30739-2103 Ph: (706) 375-1720 | North Georgia Vision Center Inc 8390 N Highway 27, Rock Spring, GA 30739-2103 Ph: (706) 375-1720 |
Stephen Brent Clark, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8390 North Hwy 27, Rock Spring, GA 30739 Phone: 706-375-1720 Fax: 706-375-1729 |