Healthcare Provider Details

I. General information

NPI: 1891341525
Provider Name (Legal Business Name): GEORGIA-FLORIDA EYE CENTERS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2019
Last Update Date: 12/29/2022
Certification Date: 12/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2282 E PINETREE BLVD
THOMASVILLE GA
31792-4807
US

IV. Provider business mailing address

2282 E PINETREE BLVD
THOMASVILLE GA
31792-4807
US

V. Phone/Fax

Practice location:
  • Phone: 229-226-6000
  • Fax: 229-226-5859
Mailing address:
  • Phone: 229-226-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH S LAW
Title or Position: OFFICE MANAGER
Credential:
Phone: 229-226-6000