Organization
JOHN D ROBERTS MDPC
Active
Other names
Plaza Optical
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER A ROBERTS (MANAGER)
(478) 374-9767
Entity
Organization
Contact information
Practice address
917 PLAZA AVE, EASTMAN, GA 31023-6759
(478) 374-9767
(478) 374-9769
Mailing address
917 PLAZA AVE, EASTMAN, GA 31023-6759
(478) 374-9767
(478) 374-9769
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
047253
GA
Other
Enumeration date
11/28/2007
Last updated
02/05/2008
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