| Organization Name: | DOUGLASVILLE EYE CLINIC PC |
| NPI Number: | 1902870751 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID S HEMMINGS (PRESIDENT) |
| Mailing Address: | 6001 Professional Pkwy Suite 2040 Douglasville |
| State: | GA US |
| Postal Code: | 301345632 |
| Phone Number: | 6788389999 |
| Fax Number: | 6788389474 |
| NPI Enumeration Date: | 02/16/2006 |
| NPI Last Update Date: | 01/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332H00000X |
| License Number: | 0606334 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |