| Organization Name: | FOUNTAIN CITY EYECARE LLC |
| NPI Number: | 1245390459 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GEORGE NICHOLAS EISCHENS (OWNER CEO) |
| Mailing Address: | 1807 Station Dr Suite A Prattville |
| State: | AL US |
| Postal Code: | 360665664 |
| Phone Number: | 3343582440 |
| Fax Number: | |
| NPI Enumeration Date: | 12/11/2006 |
| NPI Last Update Date: | 05/25/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WV0400X |
| License Number: | S983TA555 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AL |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Vision Therapy |
| Taxonomy Definition: | Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. |