Organization
TANNER OPTICAL, INC.
Active
Other names
Murphy Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN ADAM MURPHY OD (OPTOMETRIST)
(912) 383-7212
Entity
Organization
Contact information
Practice address
305 SHIRLEY AVE, DOUGLAS, GA 31533-2333
(912) 383-7212
(912) 384-4924
Mailing address
305 SHIRLEY AVE, DOUGLAS, GA 31533-2333
(912) 383-7212
(912) 384-4924
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT001767
GA
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00861506B
—
GA
01
—
410048167
RAILROAD
GA
01
—
OPT001767
GA LIC
GA
Enumeration date
01/03/2007
Last updated
03/07/2023
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