Organization · NPI-2

1 Hour Optical P C

Optometrist · Augusta, GA

NPI number1295721082
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1295721082
Entity type
Organization (NPI-2)
Legal business name
1 Hour Optical P C
Organization subpart
No
Enumeration date
Sep 27, 2005
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristGA717GAYes

Practice location

217 Bobby Jones Expy
Augusta, GA 30907-5255

Phone 706-860-1171 · Fax 706-860-1841

Mailing address

217 Bobby Jones Expy
Augusta, GA 30907-5255

Phone 706-860-1171 · Fax 706-860-1841

Authorized official

Gary G Crook
President
7068601171

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