Organization
MCDONOUGH VISION CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES E. ADAMS JR. O.D. (PRESIDENT)
(770) 957-6611
Entity
Organization
Contact information
Practice address
183 KEYS FERRY ST, SUITE A, MCDONOUGH, GA 30253-3232
(770) 957-6611
Mailing address
183 KEYS FERRY ST, SUITE A, MCDONOUGH, GA 30253-3232
(770) 957-6611
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT000897
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52150230
BCBS
GA
Enumeration date
09/25/2006
Last updated
08/22/2020
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