Provider Demographics
NPI:1205857539
Name:DUBLIN EYE ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:DUBLIN EYE ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:YOUNG
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:478-272-5933
Mailing Address - Street 1:18 ERIN OFFICE PARK
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:GA
Mailing Address - Zip Code:31021-2866
Mailing Address - Country:US
Mailing Address - Phone:478-272-5933
Mailing Address - Fax:478-272-4350
Practice Address - Street 1:18 ERIN OFFICE PARK
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:GA
Practice Address - Zip Code:31021-2866
Practice Address - Country:US
Practice Address - Phone:478-272-5933
Practice Address - Fax:478-272-4350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA055000478AMedicaid
GAGRP471Medicare PIN
GA0164860001Medicare NSC