Organization · NPI-2

007 Eyes, LLC

Clinic/Center · Jesup, GA

NPI number1952865172
StatusActive
Last updated in NPPESJan 23, 2019

Details

NPI
1952865172
Entity type
Organization (NPI-2)
Legal business name
007 Eyes, LLC
Organization subpart
No
Enumeration date
Jan 23, 2019
Last updated
Jan 23, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

420 W Cherry St
Jesup, GA 31545-1435

Phone 912-380-8007 · Fax 912-380-8007

Mailing address

420 W Cherry St
Jesup, GA 31545-1435

Phone 912-380-8007 · Fax 912-380-8007

Authorized official

Kreslyn Baron Odum
Optometrist/Owner
9123808007

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center providers in Jesup, GA