Organization
UPSON EYE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE N BRADLEY (BILLING)
(706) 647-8138
Entity
Organization
Contact information
Practice address
232 CHEROKEE RD, THOMASTON, GA 30286-3402
(706) 647-8138
(706) 647-8745
Mailing address
232 CHEROKEE RD, THOMASTON, GA 30286-3402
(706) 647-8138
(706) 647-8745
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
048999
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000896695A
—
GA
01
—
CB6575
RAILROAD MEDICARE
GA
Enumeration date
11/21/2007
Last updated
05/07/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up