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Organization

NORTH GEORGIA EYE CLINIC, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LARRY J PAYNE M.D. (PRESIDENT)
(770) 534-1711
Entity
Organization

Contact information

Practice address
1485 JESSE JEWELL PARKWAY NE, SUITE 100, GAINESVILLE, GA 30501-3806
(770) 534-1711
(770) 534-9158
Mailing address
1485 JESSE JEWELL PARKWAY NE, SUITE 100, GAINESVILLE, GA 30501-3806
(770) 534-1711
(770) 534-9158

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
152WL0500X
Low Vision Rehabilitation Optometrist
156FC0800X
Contact Lens Technician/Technologist
156FX1100X
Ophthalmic Technician/Technologist
Primary
156FX1800X
Optician
156FX1900X
Orthoptist
207W00000X
Ophthalmology Physician

Other

Enumeration date
02/27/2007
Last updated
10/26/2021
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