Organization
J-CHRISTY INC
Active
Other names
VISION GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN CHRISTY SNYDER O.D. (OWNER)
(404) 401-6699
Entity
Organization
Contact information
Practice address
546 LAKELAND PLZ, CUMMING, GA 30040-2782
(770) 889-2014
(678) 425-9417
Mailing address
546 LAKELAND PLZ, CUMMING, GA 30040-2782
(770) 889-2014
(678) 425-9417
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT0001031
GA
152WC0802X
Corneal and Contact Management Optometrist
OPT0001031
GA
152WP0200X
Pediatric Optometrist
OPT0001031
GA
152WS0006X
Sports Vision Optometrist
OPT0001031
GA
152WX0102X
Occupational Vision Optometrist
OPT0001031
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000536434B
—
GA
01
—
11797117
CAQH
—
01
—
511I410093
PTAN
—
01
—
A01212010707863
PECOS
—
Enumeration date
04/07/2011
Last updated
03/07/2023
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