Organization
TIMOTHY J. PERRY, O.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY JAY PERRY O.D. (PRESIDENT)
(229) 245-7227
Entity
Organization
Contact information
Practice address
120 BENJAMIN H HILL DR W, FITZGERALD, GA 31750-8607
(229) 423-0159
(229) 423-0165
Mailing address
3856 STRATFORD CIR, VALDOSTA, GA 31605-4855
(229) 245-7227
(229) 244-5287
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
030/0000165
VT
152W00000X
Optometrist
Primary
OPT001635
GA
Other
Enumeration date
09/25/2006
Last updated
09/18/2007
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