NPI 1891910618

Fayette Medical Clinic Optical Shop

Organisation Ophthalmology Physician Fayetteville, GA

Practice location

Address: 101 Yorktown Dr STE 225, Fayetteville, GA 30214-1568
Phone: (770) 460-2331
Fax: (770) 460-4016

Authorised official

Name: Rick Rodecker
Title: Administrator
Phone: (404) 351-2220

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 20001558 (GA)

Other Ophthalmology providers in Georgia →

Registry record

NPI: 1891910618
Entity type: Organization
NPI issued: 16 Apr 2007
Record last updated: 3 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.