George Alexander Garrett, O.D.
Individual provider
Active NPI
Optometrist · Hamilton, GA
NPI 1609952589 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1609952589
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 943-T (GA)
- Practice address
- 121 Dogwood Lane
Hamilton, GA 31811-0589
- Phone
- (706) 628-5720
- Fax
- (706) 884-2804
- NPI assigned
- Oct 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AL, GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|
| I20100407000583 |
AL |
Practitioner - Optometry |
6608902267 |
Practice locations: Valley, AL |
| I20100407000699 |
GA |
Practitioner - Optometry |
6608902267 |
Practice locations: Hamilton, GA; Lagrange, GA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|
| 943-T | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|
| Vision World Inc |
|
Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Optometrist |
152W00000X |
943-T |
GA |
Yes |
| Optometrist |
152W00000X |
S-466 |
AL |
|
Addresses
Primary practice location
121 Dogwood Lane
Hamilton, GA 31811-0589
Mailing address
PO Box 589
Hamilton, GA 31811-0589
Phone (706) 628-5720
Other identifiers
| Identifier | Type | State | Issuer |
|---|
| 51502048GAR | Other | AL | BC/BS - ALABAMA |
| 00301826B | Medicaid | GA | |