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MOUNTAIN EYE CLINIC, PC
NPI 1073772828
Optometrist in Dahlonega, GA

Active since June 06, 2008CLIA 11D2180388 · Waiver
431 GROVE ST N, SUITE C, DAHLONEGA, GA 30533(706) 864-8635(706) 864-2441 Get Directions Write a Review

NPPES record last updated: February 27, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mountain Eye Clinic, Pc NPPES

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

MOUNTAIN EYE CLINIC, PC (NPI 1073772828) is a healthcare organization registered as an optometrist in Dahlonega, Georgia and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through March 11, 2028 and lists Richard G Jabaley, Optometrist/owner, as its authorized official.

NPPES Registry Identity

NPI1073772828
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameMOUNTAIN EYE CLINIC, PC
Location Address431 GROVE ST N, SUITE CDahlonega, GA 30533-0437
Mailing Address431 Grove St N, Suite CDahlonega, GA 30533-0437 · (706) 864-8635 · Fax (706) 864-2441
Phone(706) 864-8635
Fax(706) 864-2441
Organization SubpartNo
Authorized OfficialRichard G JabaleyOptometrist/owner · (706) 864-8635
Enumeration DateJune 6, 2008
Last NPPES UpdateFebruary 27, 2013
✔ NPI 1073772828 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 · OPT001389
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.
431 GROVE ST N, Dahlonega, GA 30533
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Other Identifiers 3

Medicare UPINU44974GA
Medicare PINGRP6646GA
Medicaid000712269AGA

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2180388

Mountain Eye Clinic · Dahlonega, GA
Active · expires Mar 11, 2028
CLIA Number11D2180388
Laboratory TypePhysician Office
Certificate Effective DateMarch 12, 2026
Certificate Expiration DateMarch 11, 2028
Laboratory DirectorRichard G. Jabaley
Laboratory Phone(706) 864-8635
Laboratory LocationMountain Eye Clinic431 North Grove Street Suite C, Dahlonega, GA 30533
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DR. RICHARD GERARD JABALEY O.D.
Optometrist
431 GROVE ST N, SUITE C
DAHLONEGA, GA 30533
Lumpkin County (706) 864-8635
NORTH GEORGIA COUNSELING AND EDUCATION CENTER
Early Intervention Provider Agency
431 GROVE ST N, SUITE E
DAHLONEGA, GA 30533
Lumpkin County (706) 867-6798
MS. CHERYL BETH CLARK LCSW
Social Worker (Clinical)
431 GROVE ST N, SUITE E
DAHLONEGA, GA 30533
Lumpkin County (706) 867-6798

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 Mountain Eye Clinic, PC's NPI number?

The NPI number for Mountain Eye Clinic, PC is 1073772828. It was assigned to this organization in the NPPES registry on June 6, 2008.

Where is Mountain Eye Clinic, PC located?

Mountain Eye Clinic, PC is located at 431 Grove St N Suite C, Dahlonega, GA 30533. The listed phone number is (706) 864-8635.

What is Mountain Eye Clinic, PC's specialty?

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

Does Mountain Eye Clinic, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2180388) is associated with this NPI, valid through March 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mountain Eye Clinic, PC was last updated on February 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.