Organization
GEORGE'S OPTICAL SHOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE A. OVERMAN OPTICIAN (OWNER)
(252) 331-7922
Entity
Organization
Contact information
Practice address
1125 N ROAD ST, ELIZABETH CITY, NC 27909-3334
(252) 331-7922
Mailing address
1125 N ROAD ST, ELIZABETH CITY, NC 27909-3334
(252) 331-7922
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
615
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8801974
—
NC
Enumeration date
02/01/2008
Last updated
02/01/2008
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