Organization Name: | PAMELA CORRELL, LLC |
NPI Number: | 1295025674 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAMELA E CORRELL (OWNER) |
Mailing Address: | 2440 W Broad St Ste 14 Athens |
State: | GA US |
Postal Code: | 306063428 |
Phone Number: | 7065465285 |
Fax Number: | 7065465494 |
NPI Enumeration Date: | 04/19/2011 |
NPI Last Update Date: | 04/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | 001119 |
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. |