Organization
CROSSROADS FAMILY EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL R SMITH OD (OWNER)
(478) 224-1414
Entity
Organization
Contact information
Practice address
938 CARROLL ST, PERRY, GA 31069-3314
(478) 224-1414
(478) 224-1415
Mailing address
938 CARROLL ST, PERRY, GA 31069-3314
(478) 224-1414
(478) 224-1415
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT02208
GA
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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