Organization
COLUMBUS EYE ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN EDWARD KURTZ O.D. (PRESIDENT OWNER)
(706) 322-5528
Entity
Organization
Contact information
Practice address
109 12TH ST, COLUMBUS, GA 31901-5245
(706) 322-5528
(706) 322-6559
Mailing address
109 12TH ST, COLUMBUS, GA 31901-5245
(706) 322-5528
(706) 322-6559
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
GA1821
GA
335E00000X
Prosthetic/Orthotic Supplier
Primary
GA1821
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410006834
RAILROAD MEDICARE
GA
Enumeration date
01/02/2007
Last updated
04/20/2008
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