National Provider Identifier Database

AMERICAN EYECARE CENTER WAYCROSS PC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

AMERICAN EYECARE CENTER WAYCROSS PC
1730 BRUNSWICK HWY
WAYCROSS, GA31501-0908
Phone: 912-283-9383
Fax: 912-285-9333
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for AMERICAN EYECARE CENTER WAYCROSS PC

NPI Number 1558530675
Legal business name
LBN
AMERICAN EYECARE CENTER WAYCROSS PC
Authorized official RODNEY BROWN - (CEO)
Entity Organization
Organization subpart No
Enumeration date 02/22/2008
Last updated 03/31/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 980T
  • GA Medicaid: 00268133B

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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