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NPI Code Detail

MEDICARE: LAGRANGE EYE, LLC

MEDICARE: LAGRANGE EYE, LLC
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
1152W00000XOptometrist

General Provider Information

NPI Number : 1891638706
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAGRANGE EYE, LLC
Provider Business Mailing Address
First Line : 208 SMITH ST
Second Line :
City : LAGRANGE
State : GA
Zip : 30240-2755
Country : US
Telephone Number : 706-882-0166
Fax Number :
Provider Business Practice Location Address
First Line : 208 SMITH ST
Second Line :
City : LAGRANGE
State : GA
Zip : 30240-2755
Country : US
Telephone Number : 706-882-0166
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : DR. MICHAEL SCOTT ROTHSCHILD
Credential : OD
Telephone Number : 404-375-9265
Provider Enumeration Date : 04/14/2026
Last Update Date : 04/14/2026

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Directions to “LAGRANGE EYE, LLC ” Practice Location

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