GEORGIA OPHTHALMOLOGISTS LLC
NPI 1619349610
Non-Pharmacy Dispensing Site in Covington, GA

NPI Status: Active since October 29, 2015

Contact Information

4159 MILL ST NE
COVINGTON, GA
ZIP 30014
Phone: (770) 786-1234
Fax: (770) 385-0813

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
Medical Equipment Supplier
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Non-Pharmacy Dispensing Site
Medicare Supplier
Accepts Medicare Approved Payment

About GEORGIA OPHTHALMOLOGISTS LLC

This page provides the complete NPI Profile along with additional information for Georgia Ophthalmologists Llc, a provider established in Covington, Georgia operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1619349610 assigned on October 2015. The practitioner's primary taxonomy code is 332900000X with license number GA063170 (GA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Georgia Ophthalmologists Llc. The authorized official of this NPI record is Miss Nicole Sisko (Credentialing Specialist)

NPI: 1619349610
Provider Legal Name: GEORGIA OPHTHALMOLOGISTS LLC
Other Organization Name: GEORGIA OPHTHALMOLOGISTS LLC
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 4159 MILL ST NE COVINGTON, GA 30014
Location Phone: (770) 786-1234
Location Fax: (770) 385-0813
Mailing Address: 311 PARK PLACE BLVD 5TH FLOOR CLEARWATER, FL 33759
Mailing Phone: (727) 755-0693
Mailing Fax: (770) 385-0813
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 10-29-2015
Last Update Date: 10-29-2015
Code Navigator

Georgia Ophthalmologists Llc is a medicare supplier with PTAN 20527355 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses or Prosthetic Lenses: Conventional Contact Lenses.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Non-Pharmacy Dispensing Site
Taxonomy Code: 332900000X
Type: Suppliers
License No.: GA063170
License State: GA
Taxonomy Description: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MISS NICOLE SISKO
Authorized Official Title: CREDENTIALING SPECIALIST
Authorized Official Phone: (727) 755-0693

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
112033CGS	MEDICARE PIN (08)	GA

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN: 20527355
Accepts Medicare Assignment: YES
Specialities List: Optometrist, Optician.
Competitive Bidding: NO

Supplies List

Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	6	1	9	3	4	9	6	1	0
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	6	2	9	6	4	18	6	2
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 2 + 9 + 6 + 4 + 1 + 8 + 6 + 2 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
									0

The NPI number 1619349610 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.