Optical Associates Of South Ga Llo
Eyewear Supplier (Equipment, not the service) in Valdosta, GA. Organization (NPI-2).
NPI number1811171689
StatusActive
Last updated in NPPESDec 28, 2007
Details
- NPI
- 1811171689
- Entity type
- Organization (NPI-2)
- Legal business name
- Optical Associates Of South Ga Llo
- Organization subpart
- No
- Enumeration date
- Dec 28, 2007
- Last updated
- Dec 28, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
Practice location
3024 N Patterson StValdosta, GA 31602-1711
Phone 229-247-4114
Mailing address
3024 N Patterson StValdosta, GA 31602-1711
Phone 229-247-4114
Authorized official
Clifford D Courtenay
Managing Partner
2292474114
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