Organization
C W TATE OD ASSOCIATES INC
Active
Other names
Columbus Eye associates, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. C WATT TATE O.D. (PRESIDENT)
(706) 322-5528
Entity
Organization
Contact information
Practice address
109 12TH ST, COLUMBUS, GA 31901-5245
(706) 322-5528
Mailing address
109 12TH ST, COLUMBUS, GA 31901-5245
(706) 322-5528
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPT002724
GA
332H00000X
Eyewear Supplier
Primary
OPT002724
GA
Other
Enumeration date
02/12/2014
Last updated
02/27/2014
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