OPTICAL SHOP AT ATHENS EYE ASSOCIATES INC. NPI 1407094261

NPI Information

OPTICAL SHOP AT ATHENS EYE ASSOCIATES, INC. is an eyewear supplier in Bogart, GA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. OPTICAL SHOP AT ATHENS EYE ASSOCIATES, INC. NPI is 1407094261. The provider is registered as an organization entity type.

The provider's business location address is:

1080 VEND DR
SUITE 100
BOGART, GA
ZIP 30622-051
Phone: (706) 549-7047
Fax: (706) 613-5395

The provider's authorized official is Michael S. Jacobs .
The authorized official title is President and has the following contact phone number (706) 549-7047.

The enumeration date for this NPI number is 1/31/2009 and was last updated on 8/29/2012.

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:

Other Identifiers

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

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