Organization Name: | PROFESSIONAL EYE ASSOCIATES, INC. |
NPI Number: | 1174988232 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANDRA DIXON CURD (CHIEF OPERATIONS OFFICER) |
Mailing Address: | 1052 Battlefield Pkwy Fort Oglethorpe |
State: | GA US |
Postal Code: | 307423948 |
Phone Number: | 7062262020 |
Fax Number: | 7065293322 |
NPI Enumeration Date: | 12/16/2015 |
NPI Last Update Date: | 12/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | LDO001437 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |