Christie Eye Care
Organization Active NPI Optometrist · Fort Valley, GA
NPI 1578712469 · NPPES record last updated Sep 16, 2008
Key facts
- NPI
- 1578712469
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- OPT000731 (GA)
- Legal business name
- CHRISTIE EYE CARE
- Practice address
- 902 Knoxville St
Fort Valley, GA 31030-3969 - Phone
- (478) 825-5581
- NPI assigned
- Sep 16, 2008
- Organization subpart
- No
Authorized official
- Name
- Dudley B Christie Jr., OD
- Title
- Owner
- Phone
- (478) 825-5581
National Provider Directory
Locations
902 Knoxville St
Fort Valley, GA 31030
Phone (478) 825-5581
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | OPT000731 | GA | Yes |
Addresses
Primary practice location
902 Knoxville St
Fort Valley, GA 31030-3969
Mailing address
198 Houston Lake Rd
Ste B
Warner Robins, GA 31088-6473
Phone (478) 971-1500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00055767G | Medicaid | GA |
Other providers in Fort Valley, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.