Organization Name: | PROFESSIONAL OPTICAL SERVICES |
NPI Number: | 1003235276 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPH L REEVES (PRESIDENT) |
Mailing Address: | 2 E Jackson Blvd Savannah |
State: | GA US |
Postal Code: | 314055810 |
Phone Number: | 9123522953 |
Fax Number: | |
NPI Enumeration Date: | 04/15/2014 |
NPI Last Update Date: | 04/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |