Provider Demographics
NPI:1235118621
Name:SCHULZE EYE CENTER, P.C.
Entity Type:Organization
Organization Name:SCHULZE EYE CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:Y
Authorized Official - Last Name:PIERCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-352-3120
Mailing Address - Street 1:728 E 67TH ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-4608
Mailing Address - Country:US
Mailing Address - Phone:912-352-3120
Mailing Address - Fax:912-352-1405
Practice Address - Street 1:728 E 67TH ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-4608
Practice Address - Country:US
Practice Address - Phone:912-352-3120
Practice Address - Fax:912-352-1405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-13
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGPA640OtherMEDICAID
GA300019922BMedicaid
GA300019922BMedicaid