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BAXLEY EYECARE CENTER
NPI 1053545723
Optometrist in Baxley, GA

Active since May 11, 2009
18 LUCKIE ST STE C, SUTIE C, BAXLEY, GA 31513(912) 367-6863(912) 367-0775 Get Directions Write a Review

NPPES record last updated: May 11, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Baxley Eyecare Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAXLEY EYECARE CENTER (NPI 1053545723) is a healthcare organization registered as an optometrist in Baxley, Georgia and active in the NPI registry since May 2009. The organization lists Emily E Kanavage, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1053545723
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameBAXLEY EYECARE CENTER
Location Address18 LUCKIE ST STE C, SUTIE CBaxley, GA 31513-0358
Mailing Address206 Maple DrVidalia, GA 30474-8907 · (912) 537-2020 · Fax (912) 537-7935
Phone(912) 367-6863
Fax(912) 367-0775
Organization SubpartNo
Authorized OfficialEmily E KanavageOffice Manager · (912) 537-2020
Enumeration DateMay 11, 2009
✔ NPI 1053545723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in GA · 1223
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
18 LUCKIE ST STE C, Baxley, GA 31513
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Other Identifiers 1

Medicare UPINU05461GA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Baxley Eyecare Center's NPI number?

The NPI number for Baxley Eyecare Center is 1053545723. It was assigned to this organization in the NPPES registry on May 11, 2009.

Where is Baxley Eyecare Center located?

Baxley Eyecare Center is located at 18 Luckie St Ste C Sutie C, Baxley, GA 31513. The listed phone number is (912) 367-6863.

What is Baxley Eyecare Center's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Baxley Eyecare Center was last updated on May 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.