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WEST GEORGIA OPTICAL LLC NPI 1871773788


NPI Information

NPI: 1871773788
Provider Name: WEST GEORGIA OPTICAL, LLC

Former Legal Business Name: WEST GEORGIA OPTICAL, INC

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
2616 WARM SPRINGS RD
SUITE A
COLUMBUS, GA
ZIP 31904
Phone: (706) 323-0149
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WEST GEORGIA OPTICAL, LLC is an eyewear supplier in Columbus, GA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. WEST GEORGIA OPTICAL, LLC NPI is 1871773788. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is West Georgia Optical, Inc.

The provider's business location address is:

2616 WARM SPRINGS RD
SUITE A
COLUMBUS, GA
ZIP 31904-323
Phone: (706) 323-0149
Fax: (706) 660-9191

The provider's authorized official is Mark Holloway .
The authorized official title is President and has the following contact phone number (706) 323-3491.

The enumeration date for this NPI number is 11/8/2007 and was last updated on 10/5/2022.


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 Supplier030005GEORGIANo
2332H00000XEyewear Supplier017594GEORGIANo
3332H00000XEyewear Supplier034249GEORGIANo
4332H00000XEyewear Supplier039057GEORGIANo
5332H00000XEyewear Supplier047418GEORGIANo
6332H00000XEyewear Supplier049643GEORGIANo
7332H00000XEyewear Supplier054799GEORGIANo
8332H00000XEyewear Supplier001254GEORGIAYes

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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