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ROBERT S GENTILE ENTERPRISE PC
NPI 1063742245
Optometrist in Waycross, GA

Active since January 11, 2010
1701 BOULEVARD SQ, STE C, WAYCROSS, GA 31501(912) 283-7171(912) 284-9183 Get Directions Write a Review

NPPES record last updated: June 23, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Robert S Gentile Enterprise Pc NPPES

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

ROBERT S GENTILE ENTERPRISE PC (NPI 1063742245) is a healthcare organization registered as an optometrist in Waycross, Georgia and active in the NPI registry since January 2010. The organization lists Robert S Gentile, Owner, as its authorized official.

NPPES Registry Identity

NPI1063742245
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameROBERT S GENTILE ENTERPRISE PC
Location Address1701 BOULEVARD SQ, STE CWaycross, GA 31501-8021
Mailing Address1701 Boulevard Sq, Ste CWaycross, GA 31501-8021 · (912) 283-7171 · Fax (912) 284-9183
Phone(912) 283-7171
Fax(912) 284-9183
Organization SubpartNo
Authorized OfficialRobert S GentileOwner · (912) 283-7171
Enumeration DateJanuary 11, 2010
Last NPPES UpdateJune 23, 2010
✔ NPI 1063742245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
1701 BOULEVARD SQ, Waycross, GA 31501
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Other Identifiers 4

Medicaid115254692DGA
Medicaid115254692CGA
Medicare UPINU02410
Medicare PIN202G419598GA

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

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. EUGENE WYNN KALLAY M.D.
Pediatrics
1701 BOULEVARD SQ, D
WAYCROSS, GA 31501
Ware County (912) 387-0445
TAYLOR ELIZABETH CHESSER FNP-C
Nurse Practitioner (Family)
1701 BOULEVARD SQ
WAYCROSS, GA 31501
Ware County (912) 387-0445
ROBERT SMITH GENTILE OD
Optometrist
1701 BOULEVARD SQ, STE C
WAYCROSS, GA 31501
Ware County (912) 283-7171
LANE ROWELL THORNTON FNP-C
Nurse Practitioner (Family)
1701 BOULEVARD SQ
WAYCROSS, GA 31501
Ware County (912) 387-0445

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 Robert S Gentile Enterprise PC's NPI number?

The NPI number for Robert S Gentile Enterprise PC is 1063742245. It was assigned to this organization in the NPPES registry on January 11, 2010.

Where is Robert S Gentile Enterprise PC located?

Robert S Gentile Enterprise PC is located at 1701 Boulevard Sq Ste C, Waycross, GA 31501. The listed phone number is (912) 283-7171.

What is Robert S Gentile Enterprise PC'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 Robert S Gentile Enterprise PC was last updated on June 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.