Southern Eye Center, Pc is a
Specialist based in Valdosta, Georgia. Southern Eye Center, Pc is licensed to practice in Georgia (license number 025970) and their current practice location is
2310 N Patterson St, Suite B, Valdosta, Georgia. It can be reached at their office (for appointments etc.) via phone at
(229) 247-2020.
NPI number for Southern Eye Center, Pc is 1316020043 and their current mailing address is 2310 N Patterson St, Suite B, Valdosta, Georgia. Southern Eye Center, Pc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1316020043.
Healthcare Provider's Profile
| Full Name | Southern Eye Center, Pc |
|---|
| Type | Facility |
|---|
| Speciality | Specialist |
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| Location | 2310 N Patterson St, Valdosta, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1316020043
- Provider Enumeration Date: 10/24/2006
- Last Update Date: 11/01/2011
Medical Identifiers
Medical identifiers for Southern Eye Center, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316020043 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | OPT002069 (Georgia) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| 174400000X | Specialist | 025970 (Georgia) | Primary |
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. Southern Eye Center, Pc 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 |
|---|
Southern Eye Center, Pc
2310 N Patterson St, Suite B,
Valdosta, GA 31602-2568
Ph: (229) 247-2020 | Southern Eye Center, Pc
2310 N Patterson St, Suite B,
Valdosta, GA 31602-2568
Ph: (229) 247-2020 |
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