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NPI Code Detail

MEDICARE: HORIZON EYE CENTER INC

MEDICARE: HORIZON EYE CENTER INC
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
1207W00000XOphthalmology Physician043040GA

General Provider Information

NPI Number : 1467418954
Entity Type Code : Organization
Provider Name (Legal Business Name) : HORIZON EYE CENTER INC
Provider Business Mailing Address
First Line : 1212 AUGUSTA WEST PKWY
Second Line : STE A1
City : AUGUSTA
State : GA
Zip : 30909
Country : US
Telephone Number : 706-364-2020
Fax Number : 706-364-2022
Provider Business Practice Location Address
First Line : 1212 AUGUSTA WEST PKWY
Second Line : STE A1
City : AUGUSTA
State : GA
Zip : 30909-1808
Country : US
Telephone Number : 706-364-2020
Fax Number : 706-364-2022
Authorized Official
Title or Position : PRESIDENT
Name : HASANLI V FATTEH
Credential : MD
Telephone Number : 706-364-2020
Provider Enumeration Date : 04/24/2006
Last Update Date : 03/13/2008

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Directions to “HORIZON EYE CENTER INC ” Practice Location

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