Organization
AUGUSTA EYE MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STUART D. MARKS MD (AUTHORIZED OFFICIAL)
(706) 922-6000
Entity
Organization
Contact information
Practice address
905 STEVENS CREEK RD STE A, AUGUSTA, GA 30907-3201
(706) 922-6000
(706) 722-7994
Mailing address
905 STEVENS CREEK RD STE A, AUGUSTA, GA 30907-3201
(706) 922-6000
(706) 722-7994
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0657850001
GROUP DMERC NUMBER
SC
05
—
GPA573
—
SC
Enumeration date
05/05/2006
Last updated
07/15/2022
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