Provider Demographics
NPI:1871500587
Name:VOYCE, KENT ALAN (OD)
Entity Type:Individual
Prefix:DR
First Name:KENT
Middle Name:ALAN
Last Name:VOYCE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 BULLSBORO DR
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30265
Mailing Address - Country:US
Mailing Address - Phone:770-502-1891
Mailing Address - Fax:770-502-1924
Practice Address - Street 1:1025 BULLSBORO DR
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30265
Practice Address - Country:US
Practice Address - Phone:770-502-1891
Practice Address - Fax:770-502-1924
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2010-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1258152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA582178984OtherTAX ID
GA582178984OtherBLUE CROSS BLUE SHIELD
GA000618769CMedicaid
GA410034736OtherRAILROAD MEDICARE
GAGRP2929Medicare PIN
GA582178984OtherTAX ID
GA582178984OtherBLUE CROSS BLUE SHIELD