NPI

Baxley Eyecare Center

NPI 1053545723

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2009-05-11
Last updated
2009-05-11

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Specialties

Licenses

License GA
1223

Location

Practice location
18 Luckie St Ste C, Sutie C
City
Baxley GA
Postal code
31513-0358
Phone
(912) 367-6863

Organization contact

Name
Emily Kanavage
Title
Office Manager
Phone
(912) 537-2020

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Baxley, GA. 245 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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