Organization
GEORGIA EYE ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD E POLAND M.D. (OWNER)
(770) 995-5408
Entity
Organization
Contact information
Practice address
771 OLD NORCROSS RD, SUITE 150, LAWRENCEVILLE, GA 30046-4979
(770) 995-5408
(770) 513-2042
Mailing address
771 OLD NORCROSS RD, SUITE 150, LAWRENCEVILLE, GA 30046-4979
(770) 995-5408
(770) 513-2042
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPT001163
GA
152W00000X
Optometrist
OPT001207
GA
152W00000X
Optometrist
OPT002167
GA
207W00000X
Ophthalmology Physician
021751
GA
207W00000X
Ophthalmology Physician
Primary
031101
GA
207W00000X
Ophthalmology Physician
050167
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG1368
RAILROAD MEDICARE
GA
Enumeration date
10/10/2006
Last updated
12/22/2014
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