Gina Ruth Durant, O.D.
Individual provider Active NPI Optometrist · Waynesboro, GA
NPI 1811085707 · NPPES record last updated Jul 31, 2019
Key facts
- NPI
- 1811085707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 1273-T (GA)
- Practice address
- 300 W 4TH St
Waynesboro, GA 30830-1511 - Phone
- (706) 554-2020
- Fax
- (706) 554-2020
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- University Alabama Birmingham - School of Optometry, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Durant Eye Care
Practice addresses (Care Compare)
300 W 4TH St
Waynesboro, GA 30830-1530
Phone (706) 554-2020
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in 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 |
|---|---|---|---|---|
| I20080319000076 | GA | Practitioner - Optometry | 0941386825 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1273 | GA | MD | Addiction (Substance Use Disorder) Counselor |
| 1273-T | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Durant Eye Care | Optometrist | Current |
Accepting new patients |
| Gina R Durant | Optometrist | Current |
Accepting new patients |
| Academy of Cataract and Laser Surgery, PC | Past |
Accepting new patients | |
| Academy of Cataract and Laser Surgery, PC | Past | Accepting new patients |
Locations
144 E Broad St
Louisville, GA 30434
Phone (478) 625-7605
300 W 4th St
Waynesboro, GA 30830
Phone (706) 554-2020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1273-T | GA | Yes |
Addresses
Primary practice location
300 W 4TH St
Waynesboro, GA 30830-1511
Mailing address
144 E Broad St
Louisville, GA 30434-1620
Phone (706) 554-9442
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00515193D | Medicaid | GA | |
| 00515193B | Medicaid | GA |
Other providers in Waynesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.