Healthcare Provider Details

I. General information

NPI: 1891638706
Provider Name (Legal Business Name): LAGRANGE EYE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 SMITH ST
LAGRANGE GA
30240-2755
US

IV. Provider business mailing address

208 SMITH ST
LAGRANGE GA
30240-2755
US

V. Phone/Fax

Practice location:
  • Phone: 706-882-0166
  • Fax:
Mailing address:
  • Phone: 706-882-0166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL SCOTT ROTHSCHILD
Title or Position: MANAGING MEMBER
Credential: OD
Phone: 404-375-9265