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NPI Code Detail

MEDICARE: AUGUSTA EYE ASSOCIATES PLC

MEDICARE: AUGUSTA EYE ASSOCIATES PLC
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
1332B00000XDurable Medical Equipment & Medical Supplies0101032138VA

General Provider Information

NPI Number : 1760668545
Entity Type Code : Organization
Provider Name (Legal Business Name) : AUGUSTA EYE ASSOCIATES PLC
Provider Business Mailing Address
First Line : 17 N MEDICAL PARK DR
Second Line :
City : FISHERSVILLE
State : VA
Zip : 22939-2344
Country : US
Telephone Number : 540-213-7725
Fax Number : 540-213-7481
Provider Business Practice Location Address
First Line : 1500 COMMERCE RD
Second Line :
City : STAUNTON
State : VA
Zip : 24401-9032
Country : US
Telephone Number : 540-213-0060
Fax Number : 540-213-9441
Authorized Official
Title or Position : CLIENT SERVICES COORDINATOR
Name : MRS. LAURA M TALLEY
Credential : OCS
Telephone Number : 540-213-7725
Provider Enumeration Date : 01/11/2008
Last Update Date : 05/13/2010

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Directions to “AUGUSTA EYE ASSOCIATES PLC ” Practice Location

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