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NPI Code Detail

MEDICARE: MIDDLE GEORGIA OPTOMETRY

MEDICARE: MIDDLE GEORGIA OPTOMETRY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist

General Provider Information

NPI Number : 1376135715
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIDDLE GEORGIA OPTOMETRY
Provider Business Mailing Address
First Line : 225 LAKESHORE DR
Second Line :
City : MILLEDGEVILLE
State : GA
Zip : 31061-2448
Country : US
Telephone Number : 941-661-7931
Fax Number :
Provider Business Practice Location Address
First Line : 201 WALMART DR
Second Line :
City : EATONTON
State : GA
Zip : 31024-6761
Country : US
Telephone Number : 706-485-7955
Fax Number : 706-485-7934
Authorized Official
Title or Position : OWNER
Name : DR. MICHAEL WESSON
Credential : OD
Telephone Number : 706-485-7955
Provider Enumeration Date : 02/08/2021
Last Update Date : 02/08/2021

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Directions to “MIDDLE GEORGIA OPTOMETRY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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