Eyecare Associates, P.C.
Optometrist in Gainesville, GA. Organization (NPI-2).
NPI number1508916701
StatusActive
Last updated in NPPESAug 27, 2012
Details
- NPI
- 1508916701
- Entity type
- Organization (NPI-2)
- Legal business name
- Eyecare Associates, P.C.
- Organization subpart
- No
- Enumeration date
- Jan 11, 2007
- Last updated
- Aug 27, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
| 152WC0802X | Optometrist, Corneal and Contact Management | – | – | |
| 152WX0102X | Optometrist, Occupational Vision | – | – |
Practice location
1276 Jesse Jewell Pkwy SeGainesville, GA 30501-3823
Phone 770-532-7246 · Fax 770-532-2683
Mailing address
1276 Jesse Jewell Pkwy SeGainesville, GA 30501-3823
Phone 770-532-7246 · Fax 770-532-2683
Authorized official
Jody L Whisenant
Secretary-Treasurer
7705327246
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