Organization
DOWNTOWN OPTICIANS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL DAVID WILLIS LDO (OWNER)
(478) 405-5150
Entity
Organization
Contact information
Practice address
3933 BLOOMFIELD RD, MACON, GA 31206-3615
(478) 405-5150
(478) 746-9865
Mailing address
3933 BLOOMFIELD RD, MACON, GA 31206-3615
(478) 405-5150
(478) 746-9865
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO001314
GA
Other
Enumeration date
01/30/2007
Last updated
03/13/2012
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