# PICKENS FAMILY EYE CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790931921
- **Authorized official:** MATILDA PRINCE (OWNER)
- **Authorized official phone:** (706) 692-2878

## Contact information

- **Practice address:** 360 W CHURCH ST, JASPER, GA 30143-1400
- **Practice address phone:** (706) 692-2878
- **Practice address fax:** (706) 692-2879
- **Mailing address:** 360 W CHURCH ST, JASPER, GA 30143-1400
- **Mailing address phone:** (706) 692-2878
- **Mailing address fax:** (706) 692-2879

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WC0802X | Corneal and Contact Management Optometrist | — | NULL | Yes |
| 152WC0802X | Corneal and Contact Management Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 08/07/2008
- **Last updated:** 08/07/2008