Blatt Eye Center, P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

020964 Issued in GA

Legal business name

BLATT EYE CENTER, P.C.

Practice address

6001 Professional Pkwy
Suite 2000
Douglasville, GA 30134-5602

Phone

(770) 949-3885

Fax

(770) 949-3882

NPI assigned

Jun 10, 2010

Last updated

Aug 10, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tammy Baginski

Title

Surgical Coordinator

Phone

(770) 949-3885

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1033439252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2010",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301332010",
            "telephone_number": "770-949-3885",
            "fax_number": "770-949-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 PROFESSIONAL PKWY",
            "address_2": "SUITE 2000",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301345602",
            "telephone_number": "770-949-3885",
            "fax_number": "770-949-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLATT EYE CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "BAGINSKI",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "SURGICAL COORDINATOR",
        "authorized_official_telephone_number": "770-949-3885"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "020964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00190495A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA LICENSE",
            "identifier": "020964",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.