Organization
1 HOUR OPTICAL P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY G CROOK OD (PRESIDENT)
(706) 860-1171
Entity
Organization
Contact information
Practice address
217 BOBBY JONES EXPY, AUGUSTA, GA 30907-5255
(706) 860-1171
(706) 860-1841
Mailing address
217 BOBBY JONES EXPY, AUGUSTA, GA 30907-5255
(706) 860-1171
(706) 860-1841
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
GA717
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5055266711
TRICARE
GA
01
—
5132270001
DMERC
—
01
—
52540781004
BCBS
GA
05
—
DAG983
—
SC
05
—
DPG717
—
SC
01
—
GA0717
EYEMED
GA
Enumeration date
09/27/2005
Last updated
08/22/2020
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