Organization
CHRISTIE EYE CARE
Active
Other names
Christie Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DUDLEY CHRISTIE JR. OD (OWNER)
(478) 971-1500
Entity
Organization
Contact information
Practice address
198 S HOUSTON LAKE RD, STE B, WARNER ROBINS, GA 31088-6473
(478) 971-1500
Mailing address
198 S HOUSTON LAKE RD, STE B, WARNER ROBINS, GA 31088-6473
(478) 971-1500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00055767E
—
GA
05
—
00055767F
—
GA
05
—
00055767G
—
GA
Enumeration date
03/19/2007
Last updated
06/11/2014
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