Kreslyn Barron Odum in Jesup - Optometrist
Kreslyn Barron Odum - NPI 1093778656
Kreslyn Barron Odum is a Optometrist in Jesup, Georgia. Kreslyn Barron Odum practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Kreslyn Barron Odum is 1093778656. The last update date is 2023-03-07.
Kreslyn Barron Odum's current location address is 420 W Cherry St, Jesup, Georgia. You can contact this provider via phone number 4785530007 and fax number 4785526619. The mailing address for Kreslyn Barron Odum is 420 W Cherry St, Jesup, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kreslyn Barron Odum |
|---|---|
| Address | 420 W Cherry St, Jesup, Georgia |
| Phone Number | 4785530007 |
| Fax Number | 4785526619 |
| Sole Proprietor | Y |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1093778656 |
|---|---|
| Provider Enumeration Date | 2006-04-06 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 420 W Cherry St |
|---|---|
| City | Jesup |
| State | Georgia (GA) |
| Post Code | 315451435 |
| Phone Number | 4785530007 |
| Fax Number | 4785526619 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2242 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11620798 | GA | CAQH | |
| 709627117D | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kreslyn Barron Odum by the Centers for Medicare & Medicaid Services?
The Kreslyn Barron Odum has been issued the NPI (National Provider Identifier) 1093778656 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Kreslyn Barron Odum is geographically located?
The Kreslyn Barron Odum is physically situated at the following location: 420 W Cherry St, Jesup, GA, 315451435.
What is the Kreslyn Barron Odum's area of specialization and corresponding taxonomy classification?
The Kreslyn Barron Odum's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Kreslyn Barron Odum receive the assignment of its 1093778656 from the Centers for Medicare & Medicaid Services?
The Kreslyn Barron Odum was issued its 1093778656 by the Centers for Medicare & Medicaid Services on 2006-04-06.
When was the information regarding Kreslyn Barron Odum most recently updated?
The details pertaining to the Kreslyn Barron Odum, including its address, specialty, and other relevant information, were last refreshed on 2023-03-07.
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