Organization · NPI-2
1 Hour Optical P C
Optometrist · Augusta, GA
NPI number1336268903
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1336268903
- Entity type
- Organization (NPI-2)
- Legal business name
- 1 Hour Optical P C
- Organization subpart
- No
- Enumeration date
- Mar 28, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Other names
- Dr Gary G Crook & Associates PA (Former Legal Business Name)
Practice location
2115 Windsor Spring RdSuite 23
Augusta, GA 30906-4855
Phone 706-793-6211 · Fax 706-793-6318
Mailing address
2115 Windsor Spring RdSuite 23
Augusta, GA 30906-4855
Phone 706-793-6211 · Fax 706-793-6318
Authorized official
Gary G Crook
President Optometrist
7067936211
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