Organization
EAST ATHENS FAMILY VISION, LLC
Active
Parent organization
RUSSELL D SPRINGER, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
RUSSELL D SPRINGER, P.C.
Authorized official
DR. RUSSELL DOUGLAS SPRINGER OD (OWNER)
(706) 543-3599
Entity
Organization
Contact information
Practice address
850 GAINES SCHOOL RD, ATHENS, GA 30605-3132
(706) 850-7101
(706) 850-7089
Mailing address
270 HAWTHORNE AVE, ATHENS, GA 30606-2881
(706) 850-7101
(706) 850-7089
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003257528A
—
GA
05
—
00772098A
—
GA
Enumeration date
12/07/2020
Last updated
01/17/2022
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