1467418954 NPI number — HORIZON EYE CENTER INC

Table of content: (NPI 1467418954)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467418954 NPI number — HORIZON EYE CENTER INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HORIZON EYE CENTER INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467418954
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/13/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1212 AUGUSTA WEST PKWY
Provider Second Line Business Mailing Address:
STE A1
Provider Business Mailing Address City Name:
AUGUSTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30909
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
706-364-2020
Provider Business Mailing Address Fax Number:
706-364-2022

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1212 AUGUSTA WEST PKWY
Provider Second Line Business Practice Location Address:
STE A1
Provider Business Practice Location Address City Name:
AUGUSTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30909-1808
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-364-2020
Provider Business Practice Location Address Fax Number:
706-364-2022
Provider Enumeration Date:
04/24/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
FATTEH
Authorized Official First Name:
HASANLI
Authorized Official Middle Name:
V
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
706-364-2020

Provider Taxonomy Codes

  • Taxonomy code: 207W00000X , with the licence number:  043040 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)