OrganizationActive
Baxley Eyecare Center
NPI 1053545723 · Optometrist · Baxley, GA
Baxley Eyecare Center is a Optometrist organization in Baxley, GA (NPI 1053545723).
Provider details
- NPI number
- 1053545723
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Emily Kanavage, Office Manager(912) 537-2020
- License
- 1223 (GA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
18 Luckie St Ste C
Sutie C
Baxley, GA 31513-0358
Phone: (912) 367-6863
Fax: (912) 367-0775
Street-level locationGet directions
Mailing address
206 Maple Dr
Vidalia, GA 30474-8907
Registry dates
- Enumerated
- 2009-05-11
- Last updated
- 2009-05-11
Frequently asked questions
- What is Baxley Eyecare Center's NPI number?
- Baxley Eyecare Center's National Provider Identifier (NPI) is 1053545723, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Baxley Eyecare Center?
- Baxley Eyecare Center is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Baxley Eyecare Center located?
- Baxley Eyecare Center's practice location on file with NPPES is 18 Luckie St Ste C, Baxley, GA 31513-0358.
- What is Baxley Eyecare Center's phone number?
- The practice phone number listed in the NPPES registry for Baxley Eyecare Center is (912) 367-6863.
- Who is the authorized official for Baxley Eyecare Center?
- The authorized official listed on Baxley Eyecare Center's NPPES record is Emily Kanavage, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Baxley Eyecare Center's NPI active?
- Yes — Baxley Eyecare Center's NPI (1053545723) is active in the NPPES registry as of the last update on 2009-05-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.