Organization
PINE MOUNTAIN EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK P SMITH O.D. (OWNER)
(706) 663-2600
Entity
Organization
Contact information
Practice address
414 S MAIN AVE, PINE MOUNTAIN, GA 31822-2355
(706) 663-2600
(706) 663-7632
Mailing address
414 SOUTH MAIN AVENUE, PINE MOUNTAIN, GA 31822
(706) 663-2600
(706) 663-7632
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT001254
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00451162G
—
GA
01
—
P00253929
RAILROAD MEDICARE
GA
Enumeration date
04/11/2007
Last updated
01/28/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us