Organization
HARRY J. ANANDER REEVES OPTICAL CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARRY J ANANDER L.D.O. (OWNER/OPTICIAN)
(912) 355-2755
Entity
Organization
Contact information
Practice address
4825 WATERS AVE, SAVANNAH, GA 31404-6221
(912) 355-2755
(912) 355-6128
Mailing address
4825 WATERS AVE, SAVANNAH, GA 31404-6221
(912) 355-2755
(912) 355-6128
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
025-275318
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000243053B
—
GA
01
—
GA861
STATE LICENSE
GA
Enumeration date
01/25/2008
Last updated
06/30/2008
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