Provider Demographics
NPI:1891757845
Name:LAYMAN, ANN SARACINI (OD)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:SARACINI
Last Name:LAYMAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N PEACHTREE PKWY
Mailing Address - Street 2:SUITE 1
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-1729
Mailing Address - Country:US
Mailing Address - Phone:770-487-8900
Mailing Address - Fax:770-487-4118
Practice Address - Street 1:100 N PEACHTREE PKWY
Practice Address - Street 2:SUITE 1
Practice Address - City:PEACHTREE CITY
Practice Address - State:GA
Practice Address - Zip Code:30269-1729
Practice Address - Country:US
Practice Address - Phone:770-487-8900
Practice Address - Fax:770-487-4118
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC3740152W00000X
GAOPT 2837152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2427237OtherCIGNA
FL19014OtherBLUE CROSS BLUE SHIELD
FL3841078OtherAETNA
FL621007400Medicaid
FLU4572ZMedicare ID - Type Unspecified
FL3841078OtherAETNA
FLU4572XMedicare PIN