Optical Associates Of South Ga Llo in Valdosta - Eyewear Supplier
Optical Associates Of South Ga Llo - NPI 1811171689
Optical Associates Of South Ga Llo is a Eyewear Supplier in Valdosta, Georgia. Optical Associates Of South Ga Llo practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Optical Associates Of South Ga Llo is 1811171689. The last update date is 2007-12-28.
Optical Associates Of South Ga Llo's current location address is 3024 N Patterson St, Valdosta, Georgia. You can contact this provider via phone number 2292474114. The mailing address for Optical Associates Of South Ga Llo is 3024 N Patterson St, Valdosta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Optical Associates Of South Ga Llo |
|---|---|
| Address | 3024 N Patterson St, Valdosta, Georgia |
| Phone Number | 2292474114 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING P |
|---|---|
| Authorized Official Name | Courtenay D Clifford |
| Credentials | O.D. |
| Telephone Number | 2292474114 |
NPI Number Detail
| NPI Number | 1811171689 |
|---|---|
| Provider Enumeration Date | 2007-12-28 |
| Last Updated Date | 2007-12-28 |
Provider Mailing Address Detail
| Address | 3024 N Patterson St |
|---|---|
| City | Valdosta |
| State | Georgia (GA) |
| Post Code | 316021711 |
| Phone Number | 2292474114 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
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What is the unique 10-digit identifier code assigned to Optical Associates Of South Ga Llo by the Centers for Medicare & Medicaid Services?
The Optical Associates Of South Ga Llo has been issued the NPI (National Provider Identifier) 1811171689 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Optical Associates Of South Ga Llo?
The Optical Associates Of South Ga Llo is situated at 3024 N Patterson St, in the city of Valdosta, state of GA, with the zip code 316021711.
What is Optical Associates Of South Ga Llo's area of expertise and its corresponding taxonomy classification?
The Optical Associates Of South Ga Llo's field of specialization is Eyewear Supplier, and it falls under the taxonomy code 332H00000X, which categorizes healthcare providers based on their areas of practice.
When did Optical Associates Of South Ga Llo receive its 1811171689 assignment?
The Optical Associates Of South Ga Llo was assigned its 1811171689 on 2007-12-28, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Optical Associates Of South Ga Llo, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Optical Associates Of South Ga Llo, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-12-28.
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