Organization
S P D OPTICAL INC
Active
Other names
AMERICAN VISION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP FRIEDLAND LDO (OWNER)
(706) 543-7925
Entity
Organization
Contact information
Practice address
3700 ATLANTA HWY, ATHENS, GA 30606-7201
(706) 543-7925
(706) 546-9025
Mailing address
3700 ATLANTA HWY, ATHENS, GA 30606-7201
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
001503
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0234640002
MEDICARE NSC
GA
Enumeration date
12/13/2006
Last updated
03/13/2012
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