Provider Demographics
NPI:1588726087
Name:OPHTHALMOLOGY ASSOCIATES
Entity type:Organization
Organization Name:OPHTHALMOLOGY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:M
Authorized Official - Last Name:PIROS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:912-352-7941
Mailing Address - Street 1:2 E JACKSON BLVD
Mailing Address - Street 2:P,O. BOX 13919
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-5810
Mailing Address - Country:US
Mailing Address - Phone:912-352-7941
Mailing Address - Fax:912-352-7946
Practice Address - Street 1:2 E JACKSON BLVD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-5810
Practice Address - Country:US
Practice Address - Phone:912-352-7941
Practice Address - Fax:912-352-7946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2008-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAC12506OtherMEDICARE RAILROAD
SC7624Medicare PIN