Organization
GS EYECARE INC
Active
Parent organization
GS EYECARE INC
Other names
Eye Site of Cleveland Family Vision
Organization subpart
Yes
Provider details
NPI number
Legal business name
GS EYECARE INC
Authorized official
DR. JASON K GABRELS OD (PRESIDENT)
(706) 219-3300
Entity
Organization
Contact information
Practice address
897 S MAIN ST, CLEVELAND, GA 30528-1458
(770) 219-3300
(770) 219-3300
Mailing address
897 S MAIN ST, CLEVELAND, GA 30528-1458
(770) 219-3300
(770) 219-3300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
L20063005
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000873232A
—
GA
05
—
101533
—
GA
Enumeration date
05/27/2010
Last updated
05/27/2010
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