THE OPTICAL SHOP NPI 1770761462

NPI Information

NPI: 1770761462
Provider Name: THE OPTICAL SHOP
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
712 E 69TH ST
SAVANNAH, GA
ZIP 31405
Phone: (912) 354-6445
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THE OPTICAL SHOP is an eyewear supplier in Savannah, GA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. THE OPTICAL SHOP NPI is 1770761462. The provider is registered as an organization entity type.

The provider's business location address is:

712 E 69TH ST
SAVANNAH, GA
ZIP 31405-716
Phone: (912) 354-6445
Fax: (912) 354-3393

The provider's authorized official is Wanda Gail Lagrone .
The authorized official title is Owner/optician and has the following contact phone number (912) 354-6445.

The enumeration date for this NPI number is 2/5/2008 and was last updated on 10/8/2009.

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		1041	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	4106600001	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: 4/28/2024

NPI Synchronization or Removal

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