Individual
DR. GEORGE NICHOLAS EISCHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
605 JASMINE TRL, PRATTVILLE, AL 36066-3661
(334) 365-2020
(334) 365-4845
Mailing address
605 JASMINE TRL, PRATTVILLE, AL 36066-3661
(334) 365-2020
(334) 365-4845
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-983-TA 555
AL
152WC0802X
Corneal and Contact Management Optometrist
S983TA555
AL
152WL0500X
Low Vision Rehabilitation Optometrist
S983TA555
AL
152WV0400X
Vision Therapy Optometrist
S-983-TA-555
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051509621
—
AL
01
—
51509621
BLUE CROSS BLUE SHELD NUM
AL
Enumeration date
05/30/2005
Last updated
04/18/2022
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