Provider Demographics
NPI:1942400627
Name:HARTON FAMILY EYECARE
Entity Type:Organization
Organization Name:HARTON FAMILY EYECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INDEPENDENT CONTRACTOR/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RICKEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HARTON
Authorized Official - Suffix:JR
Authorized Official - Credentials:OD
Authorized Official - Phone:678-734-3489
Mailing Address - Street 1:PO BOX 27174
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31221-7174
Mailing Address - Country:US
Mailing Address - Phone:678-734-3489
Mailing Address - Fax:404-745-0539
Practice Address - Street 1:4949 BILL GARDNER PKWY
Practice Address - Street 2:
Practice Address - City:LOCUST GROVE
Practice Address - State:GA
Practice Address - Zip Code:30248-2910
Practice Address - Country:US
Practice Address - Phone:678-734-3489
Practice Address - Fax:404-745-0539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-20
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOPT002577152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty