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Contact Information

A PLUS OPTIQUE
1240 HIGHWAY 54 W STE 306
FAYETTEVILLE, GA30214-4563
 Phone: 678-834-7411
 Fax: 678-834-7432
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for A PLUS OPTIQUE

NPI Number 1235549536
LBN Legal business name A PLUS OPTIQUE
Authorized official CRYSTAL WADE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/07/2014
Last updated 04/10/2020 - About 6 years ago
Identifiers
GA License # LDO002220
GA Medicaid GA00314733A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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