Organization
TIPPETT EYECARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNETTE CARRAWAY (OFFICE MANAGER)
(706) 738-1102
Entity
Organization
Contact information
Practice address
701 DEVIKA DR STE 3, GROVETOWN, GA 30813-5137
(762) 222-7104
Mailing address
2465 WRIGHTSBORO RD, AUGUSTA, GA 30904-6244
(706) 738-1102
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1296T
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000618549A
—
GA
01
—
1213300002
DMERC
GA
Enumeration date
10/29/2014
Last updated
10/21/2025
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