Organization
TERRELL OPTICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY TERRELL (OWNER)
(706) 291-7842
Entity
Organization
Contact information
Practice address
2110 SHORTER AVE NW, ROME, GA 30165-2018
(706) 291-7842
Mailing address
2110 SHORTER AVE NW, ROME, GA 30165-2018
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
05/01/2007
Last updated
08/22/2020
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