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S P D OPTICAL INC NPI 1124189113


NPI Information

NPI: 1124189113
Provider Name: S P D OPTICAL INC

Doing Business As: AMERICAN VISION CENTER

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
3700 ATLANTA HWY
ATHENS, GA
ZIP 30606
Phone: (706) 543-7925
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S P D 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. S P D OPTICAL INC NPI is 1124189113. The provider is registered as an organization entity type.
The provider Is Doing Business As American Vision Center.

The provider's business location address is:

3700 ATLANTA HWY
ATHENS, GA
ZIP 30606-201
Phone: (706) 543-7925
Fax: (706) 546-9025

The provider's authorized official is Philip Friedland .
The authorized official title is Owner and has the following contact phone number (706) 543-7925.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 3/13/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear Supplier001503GEORGIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10234640002MEDICARE NSCGEORGIA
20234640002OTHERGEORGIAMEDICARE NSC

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: 4/28/2024

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