NPI 1245670462 · live from the CMS NPI Registry
At Home Eye Care LLC
Optometrist in Valdosta, GA. National Provider Identifier 1245670462, active.
NPI record
| NPI | 1245670462 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 4147 Ginger Trl, Valdosta, GA 31602 |
| Practice phone | 504-554-1111 |
| Enumerated | July 2, 2013 |
| Last updated | July 2, 2013 |
| Authorized official | Valerie Ferrell, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OPT002615 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.