NPI 1619018355 · live from the CMS NPI Registry
Advanced Eyecare, INC.
Optometrist in Chatsworth, GA. National Provider Identifier 1619018355, active.
NPI record
| NPI | 1619018355 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 911 N 3rd Ave, Chatsworth, GA 30705 |
| Practice phone | 706-695-4676 |
| Enumerated | February 8, 2007 |
| Last updated | April 20, 2008 |
| Authorized official | Keith Lowe, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | opt001580 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.