Organization
FRANKLIN COUNTY EYE CARE
Active
Parent organization
STEPHENS COUNTY EYE CLINIC, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
STEPHENS COUNTY EYE CLINIC, INC
Authorized official
DR. KEVIN RICK VANDERHOEF O.D. (OWNER)
(706) 356-0206
Entity
Organization
Contact information
Practice address
13375 JONES ST, SUITE B-2, LAVONIA, GA 30553-1147
(706) 356-0206
(706) 356-0346
Mailing address
13375 JONES ST, SUITE B-2, LAVONIA, GA 30553-1147
(706) 356-0206
(706) 356-0346
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
GA1577
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000743003D
—
GA
Enumeration date
03/05/2012
Last updated
01/24/2017
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