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Individual

JAMES F GEORGIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
754
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0438610001
MEDICARE DMERC
CO
01
410029089
RAILROAD MEDICARE
CO
Enumeration date
03/30/2006
Last updated
11/08/2011
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