Dr. James T. Beverly III, OD
Optometrist in Macon, GA. Individual provider (NPI-1).
NPI number1376562850
StatusActive
Last updated in NPPESDec 31, 2009
Details
- NPI
- 1376562850
- Entity type
- Individual (NPI-1)
- Name
- Dr. James T. Beverly III
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 18, 2006
- Last updated
- Dec 31, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 1471 | GA | Yes |
| 152WC0802X | Optometrist, Corneal and Contact Management | 1471 | GA | |
| 152WL0500X | Optometrist, Low Vision Rehabilitation | 1471 | GA | |
| 152WP0200X | Optometrist, Pediatrics | 1471 | GA | |
| 152WS0006X | Optometrist, Sports Vision | 1471 | GA | |
| 152WV0400X | Optometrist, Vision Therapy | 1471 | GA | |
| 152WX0102X | Optometrist, Occupational Vision | 1471 | GA |
Practice location
635 Pio Nono AveMacon, GA 31204
Phone 478-803-0001 · Fax 478-254-4997
Mailing address
635 Pio Nono AveMacon, GA 31204
Phone 478-803-0001 · Fax 478-254-4997
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All 35 Optometrist providers in Macon · All 5,121 providers in Macon
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