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NPI Code Detail

MEDICARE: WEST GEORGIA EYE CARE CENTER, PA

MEDICARE: WEST GEORGIA EYE CARE CENTER, PA
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 PhysicianGA

General Provider Information

NPI Number : 1699868265
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEST GEORGIA EYE CARE CENTER, PA
Provider Business Mailing Address
First Line : PO BOX 11407
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35246-3035
Country : US
Telephone Number : 864-359-1308
Fax Number :
Provider Business Practice Location Address
First Line : 2616 WARM SPRINGS RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-5323
Country : US
Telephone Number : 706-323-3491
Fax Number : 706-660-9191
Authorized Official
Title or Position : CFO
Name : KEVIN BECKER
Credential :
Telephone Number : 914-391-4921
Provider Enumeration Date : 10/02/2006
Last Update Date : 03/24/2026

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Directions to “WEST GEORGIA EYE CARE CENTER, PA ” Practice Location

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