Organization Name: | J LARRY PRITCHETT OD PC |
NPI Number: | 1760531321 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES LARRY PRITCHETT (CEO) |
Mailing Address: | 74 Peachtree Street Cuthbert |
State: | GA US |
Postal Code: | 398405807 |
Phone Number: | 2297322552 |
Fax Number: | |
NPI Enumeration Date: | 01/10/2007 |
NPI Last Update Date: | 12/16/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | OPT000689 |
Healthcare Provider Taxonomy: (Secondary) | N |
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. |