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KELLER CRYMES DEMARCO LLC NPI 1790907277


NPI Information

NPI: 1790907277
Provider Name: KELLER, CRYMES, DEMARCO LLC

Doing Business As: KELLER OPTICAL

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
105 TRINITY PL.
ATHENS, GA
ZIP 30607
Phone: (706) 549-9993
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KELLER, CRYMES, DEMARCO LLC 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. KELLER, CRYMES, DEMARCO LLC NPI is 1790907277. The provider is registered as an organization entity type.
The provider Is Doing Business As Keller Optical.

The provider's business location address is:

105 TRINITY PL.
ATHENS, GA
ZIP 30607-112
Phone: (706) 549-9993
Fax: (706) 549-4047

The provider's authorized official is Brent Michael Crymes .
The authorized official title is Doctor and has the following contact phone number (706) 549-9993.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 6/14/2021.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2332H00000XEyewear SupplierBT-085849GEORGIAYes

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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