Organization
BEALL OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN ALLEN BEALL LDO (OWNER)
(229) 247-8484
Entity
Organization
Contact information
Practice address
3001 N ASHLEY ST, VALDOSTA, GA 31602-1709
(229) 247-8484
(229) 247-7996
Mailing address
3001 N ASHLEY ST, VALDOSTA, GA 31602-1709
(229) 247-8484
(229) 247-7996
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
598
GA
Other
Enumeration date
12/29/2005
Last updated
12/11/2007
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