Organization
WOLF CREEK ENT LLC
Active
Organization
WOLF CREEK ENT LLC
Active
Other names
CATHY'S EYE CARE
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN STEWART FRAZIER (BOOKKEEPER)
(478) 986-6983
Entity
Organization
Contact information
Practice address
1841 N COLUMBIA ST, MILLEDGEVILLE, GA 31061-2382
(478) 452-3593
(478) 936-9992
Mailing address
1841 N COLUMBIA ST, MILLEDGEVILLE, GA 31061-2382
(478) 452-3593
(478) 936-9992
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
LDO001648
GA
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
GA
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00897487A
—
GA
01
—
07820
SPECTERA
GA
01
—
100921
AVESIS MCAID
GA
01
—
25391
AVESIS
GA
Enumeration date
05/11/2007
Last updated
05/13/2008
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