ATHENS OPTICAL INC NPI 1003008749

NPI Information

NPI: 1003008749
Provider Name: ATHENS OPTICAL INC
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
957 BAXTER ST
ATHENS, GA
ZIP 30606
Phone: (706) 549-4457
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ATHENS OPTICAL INC is an eyewear supplier in Athens, GA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. ATHENS OPTICAL INC NPI is 1003008749. The provider is registered as an organization entity type.

The provider's business location address is:

957 BAXTER ST
ATHENS, GA
ZIP 30606-754
Phone: (706) 549-4457
Fax: (706) 353-3168

The provider's authorized official is John Collins Reed .
The authorized official title is Licensed Dispensing Optician and has the following contact phone number (706) 549-4457.

The enumeration date for this NPI number is 8/16/2007 and was last updated on 1/8/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332H00000X	Eyewear Supplier		LDO001741	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0130170001	MEDICARE NSC	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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