Organization
CLAYTON FAMILY EYE CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN R THURMOND O.D. (OWNER)
(706) 782-3535
Entity
Organization
Contact information
Practice address
50 EARL ST., SUITE A, CLAYTON, GA 30525
(706) 782-3535
(706) 782-7525
Mailing address
PO BOX 2105, CLAYTON, GA 30525-0053
(706) 782-3535
(706) 782-7525
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT001354
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00521562A
—
GA
01
—
410024148
RAIL ROAD MEDICARE
GA
01
—
52403378
BLUECROSS BLUESHIELD
GA
Enumeration date
04/09/2007
Last updated
06/21/2021
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