GEORGIA OPHTHALMOLOGISTS LLC (NPI# 1619349610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619349610 |
| Entity Type | Organization |
| Organization Name | GEORGIA OPHTHALMOLOGISTS LLC |
| Other Organization Name | GEORGIA OPHTHALMOLOGISTS LLC |
| Practice Address |
4159 Mill St Ne Covington GA 30014-2546 |
| Mailing Address |
311 Park Place Blvd 5th Floor Clearwater FL 33759-4904 |
| Practice Telephone | 7707861234 |
| Practice Fax Number | 7703850813 |
| Mailing Telephone | 7277550693 |
| Mailing Fax Number | 7277550679 |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-10-29 |
| Authorized Official Name | MISS NICOLE SISKO (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 7277550693 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | GA063170 | GA | Suppliers |
| Other Name | Type Code |
|---|---|
| Georgia Ophthalmologists LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366800914 | Georgia Ophthalmologists LLC | Durable Medical Equipment & Medical Supplies | 860 W 3rd St, Jackson, GA 30233 | 2016-02-10 |
| 1851801286 | Georgia Ophthalmologists LLC | Optometrist | 1311 W Spring St, Monroe, GA 30655-1758 | 2017-10-12 |
| 1417467044 | Georgia Ophthalmologists LLC | Optometrist | 1747 Langford Dr, Building 400 Suite 101, Watkinsville, GA 30677 | 2017-10-10 |
| 1669831764 | Georgia Ophthalmologists LLC | Ophthalmology | 4159 Mill St Ne, Covington, GA 30014-2546 | 2016-02-17 |
| 1851672109 | Georgia Ophthalmologists LLC | Durable Medical Equipment & Medical Supplies | 4159 Mill St Ne, Covington, GA 30014-2546 | 2011-08-31 |
| 1477831360 | Georgia Ophthalmologists LLC | Clinic/Center | 4159 Mill St Ne, Covington, GA 30014-2546 | 2011-07-27 |
| 1932497575 | Georgia Ophthalmologists LLC | Ophthalmology | 4159 Mill St Ne, Covington, GA 30014-2546 | 2011-07-18 |
| Street Address |
4159 MILL ST NE |
| City | COVINGTON |
| State | GA |
| Zip Code | 30014-2546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821171661 | Jose Luis Bigles-geigel | Ophthalmology | 4159 Mill St Ne, Covington, GA 30014-2546 | 2006-10-23 |
| 1669831764 | Georgia Ophthalmologists LLC | Ophthalmology | 4159 Mill St Ne, Covington, GA 30014-2546 | 2016-02-17 |
| 1851672109 | Georgia Ophthalmologists LLC | Durable Medical Equipment & Medical Supplies | 4159 Mill St Ne, Covington, GA 30014-2546 | 2011-08-31 |
| 1477831360 | Georgia Ophthalmologists LLC | Clinic/Center | 4159 Mill St Ne, Covington, GA 30014-2546 | 2011-07-27 |
| 1932497575 | Georgia Ophthalmologists LLC | Ophthalmology | 4159 Mill St Ne, Covington, GA 30014-2546 | 2011-07-18 |
| 1447415732 | Jaymini Nayee | Optometrist | 4159 Mill St Ne, Covington, GA 30014-2546 | 2008-07-25 |
| 1366603433 | Jack E. Manns | Ophthalmology | 4159 Mill St Ne, Covington, GA 30014-2546 | 2008-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495635 | Cathy Cassandra Collins | Pharmacist | 3639 Hwy 278, Covington, GA 30014 | 2020-10-22 |
| 1154933877 | Atl Optical LLC | Optometrist | 3135 Highway 278 Ne, Covington, GA 30014 | 2020-08-24 |
| 1932737046 | Samagas House Org | Adult Companion | 1500 Mountain View Cirlcle, Conyers, GA 30014 | 2020-04-01 |
| 1356834360 | Covington Dental Care | Dentist | 4139 Baker Street, Suite 15, Covington, GA 30014 | 2018-06-13 |
| 1487190005 | New Avenues Assessment and Counseling Center LLC | Counselor | 3192 Spring Street, Covington, NEWTON 30014 | 2017-01-07 |
| 1275903973 | Jennifer Carol Bridges | Registered Nurse | 320 Malcom Lane, Covington, GA 30014 | 2015-10-07 |
| 1134598501 | Shelby Boggus King | Physician Assistant | 4181 Hospital Drive Ne, Suite 204, Covington, GA 30014 | 2015-09-16 |
| 1366829814 | Wendy Pazdur | Counselor | 5109 Hwy 278 East, Suite D, Covington, GA 30014 | 2015-05-05 |
| 1306235445 | Covington Center for Family Dentistry | Dentist | 10373 Industrial Blvd, Covington, GA 30014 | 2015-01-13 |
| 1992103428 | Modern Cosmetic Dental Care, LLC | Clinic/Center | 1750 Highway 11, Suite B, Covington, GA 30014 | 2014-12-16 |
| Find all providers in zip 30014 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306304050 | Spinal Regeneration Center of La, LLC | Non-Pharmacy Dispensing Site | 189 Greenbrier Blvd Ste C, Covington, LA 70433-7297 | 2019-03-12 |
| 1144734153 | Northshore Interventional Pain Management | Non-Pharmacy Dispensing Site | 7015 Hwy 190 E Service Rd., Ste 101, Covington, LA 70433 | 2017-11-29 |
| 1104337559 | Paul Van Deventer Md Apmc | Non-Pharmacy Dispensing Site | 1200 Pinnacle Pkwy Ste 3, Covington, LA 70433-9169 | 2017-10-12 |
| 1538647441 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 5239 Highway 278 Ne, Covington, GA 30014-2671 | 2018-08-02 |
| 1609316066 | Neuroscience & Pain Institute LLC | Non-Pharmacy Dispensing Site | 76 Starbrush Cir, Covington, LA 70433-7208 | 2017-03-06 |
| 1982918462 | Dermatology Consultants, P.C. | Non-Pharmacy Dispensing Site | 4151 Hospital Dr Ne, Covington, GA 30014-2565 | 2010-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740823202 | Gwinnett Pulmonary Group Duluth | Non-Pharmacy Dispensing Site | 3855 Pleasant Hill Rd Ste 180, Duluth, GA 30096-8093 | 2019-10-28 |
| 1063061315 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 1280 Dogwood Dr Se, Conyers, GA 30013-5046 | 2019-09-10 |
| 1659929339 | Ankle and Foot Centers of Georgia, LLC | Non-Pharmacy Dispensing Site | 1975 Highway 54 W Ste 200, Peachtree City, GA 30269-4794 | 2019-08-27 |
| 1801444591 | Ankle and Foot Centers of Georgia, LLC | Non-Pharmacy Dispensing Site | 2326 Highway 34 E Ste 200, Newnan, GA 30265-1328 | 2019-08-27 |
| 1225686991 | Ankle and Foot Centers of Georgia, LLC | Non-Pharmacy Dispensing Site | 1819 Peachtree Rd Ne Ste 103, Atlanta, GA 30309-1848 | 2019-08-27 |
| 1265995724 | Georgia Urology Pa | Non-Pharmacy Dispensing Site | 5900 Hillandale Dr Ste 200, Lithonia, GA 30058-3858 | 2019-04-11 |
| 1861980955 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 4763 Atlanta Hwy Ste 420, Loganville, GA 30052-6788 | 2018-04-25 |
| 1184111338 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 10945 State Bridge Rd Ste 901, Alpharetta, GA 30022-8164 | 2018-04-13 |
| 1538666854 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 1575 Mount Vernon Rd, Dunwoody, GA 30338-4146 | 2018-04-12 |
| 1811494156 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 6063 Peachtree Pkwy Ste 210a, Peachtree Corners, GA 30092-3303 | 2018-04-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GEORGIA OPHTHALMOLOGISTS LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.