Organization
FIVE POINTS OPTOMETRISTS, PC
Active
Other names
FIVE POINTS EYE CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSE MARIE ISREAL (BILLING MANAGER)
(706) 543-2020
Entity
Organization
Contact information
Practice address
698 S MILLEDGE AVE, ATHENS, GA 30605-1251
(706) 543-2020
(706) 549-6618
Mailing address
698 S MILLEDGE AVE, ATHENS, GA 30605-1251
(706) 543-2020
(706) 549-6618
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300030774A
—
GA
01
—
GRP3442
MEDICARE GROUP
GA
Enumeration date
09/10/2007
Last updated
03/07/2013
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