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Individual

DR. WILLIAM C EVERETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
120 COMMERCE DR, SUITE 100, BRUNSWICK, GA 31525-1890
(912) 265-8852
(912) 264-4673
Mailing address
120 COMMERCE DR, SUITE 100, BRUNSWICK, GA 31525-1890
(912) 265-8852
(912) 264-4673

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
684
GA
152WC0802X
Corneal and Contact Management Optometrist
684
GA
152WL0500X
Low Vision Rehabilitation Optometrist
684
GA
152WV0400X
Vision Therapy Optometrist
684
GA
152WX0102X
Occupational Vision Optometrist
684
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000003803A
GA
01
1222850001
DEMERC
GA
01
410000715
RAILROAD MEDICARE
GA
01
582398109
STAY FOCUSED EYECARE
GA
Enumeration date
09/01/2006
Last updated
04/12/2012
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