Organization
ROSE EYE CARE LLC
Active
Other names
Eason Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L GROSSWALD OD (PRESIDENT)
(770) 860-1919
Entity
Organization
Contact information
Practice address
14815 US HIGHWAY 19 S, SUITE 1000, THOMASVILLE, GA 31792-4889
(229) 227-9200
(229) 226-6057
Mailing address
14815 HWY. 19 SOUTH, SUITE 1000, THOMASVILLE, GA 31792-4889
(229) 227-9200
(229) 226-6057
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
OPT001177
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000477815B
—
GA
01
—
52295473
BCBS GEORGIA
GA
Enumeration date
12/14/2007
Last updated
04/20/2026
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