Organization
SPENCER EYE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXIS DANIELLE SPENCER O.D. (OPTOMETRIST)
(703) 342-8889
Entity
Organization
Contact information
Practice address
596 BOBBY JONES EXPY, AUGUSTA, GA 30907-5300
(706) 863-1150
Mailing address
2622 SERENITY LN, AUGUSTA, GA 30909-0646
(703) 342-8889
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2562
GA
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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