NPI 1710952890 · live from the CMS NPI Registry
Appling Eye Clinic,INC.
Optometrist in Baxley, GA. National Provider Identifier 1710952890, active.
NPI record
| NPI | 1710952890 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 77 N Main St, Baxley, GA 31513 |
| Practice phone | 912-367-7754 |
| Mailing address | Po Box 70, Baxley, GA 31515 |
| Enumerated | February 22, 2006 |
| Last updated | March 13, 2008 |
| Authorized official | Larry Forth, Doctor |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OPT000842 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.