Organization
MONROE OPTICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NORMAN A. NICHOLAS L.D.O. (OWNER)
(770) 267-7824
Entity
Organization
Contact information
Practice address
1311 W SPRING ST, MONROE, GA 30655-1758
(770) 267-7824
(770) 207-0072
Mailing address
1311 W SPRING ST, MONROE, GA 30655-1758
(770) 267-7824
(770) 207-0072
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO000998
GA
Other
Enumeration date
01/25/2007
Last updated
08/22/2020
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