Family Eye Care of Toccoa
Organization Active NPI Optometrist · Toccoa, GA
NPI 1639299563 · NPPES record last updated Aug 11, 2011
Key facts
- NPI
- 1639299563
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- OPT001460 (GA)
- Legal business name
- FAMILY EYE CARE OF TOCCOA
- Practice address
- 58 E Doyle St
Toccoa, GA 30577-3009 - Phone
- (706) 886-5214
- Fax
- (706) 282-1451
- NPI assigned
- Apr 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Kay Royal, OD
- Title
- President
- Phone
- (706) 886-5214
Practitioners 1
-
Rakesh N Parikh, MD
National Provider Directory
Locations
58 E Doyle St
Toccoa, GA 30577
Phone (706) 599-5407
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | OPT001460 | GA | Yes |
Addresses
Primary practice location
58 E Doyle St
Toccoa, GA 30577-3009
Mailing address
58 E Doyle St
Toccoa, GA 30577-3009
Phone (706) 886-5214
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DAG980 | Medicaid | SC | |
| 00626216B | Medicaid | GA |
Other providers in Toccoa, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2011. 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.