Provider Demographics
NPI:1699950006
Name:HART EYE CARE, P.C.
Entity type:Organization
Organization Name:HART EYE CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:HART
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:229-928-2024
Mailing Address - Street 1:135 GA HIGHWAY 27 E
Mailing Address - Street 2:
Mailing Address - City:AMERICUS
Mailing Address - State:GA
Mailing Address - Zip Code:31709-5520
Mailing Address - Country:US
Mailing Address - Phone:229-928-2024
Mailing Address - Fax:229-928-2921
Practice Address - Street 1:135 GA HIGHWAY 27 E
Practice Address - Street 2:
Practice Address - City:AMERICUS
Practice Address - State:GA
Practice Address - Zip Code:31709-5520
Practice Address - Country:US
Practice Address - Phone:229-928-2024
Practice Address - Fax:229-515-4667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-03
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAA04608OtherEYEMED
GA000467189EMedicaid
GAA04608OtherEYEMED
GADQ0894Medicare PIN
GA000467189EMedicaid