Organization
EYE PROS
Active
Organization
EYE PROS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE A KREIDE O.D. (PRESIDENT)
(912) 965-9605
Entity
Organization
Contact information
Practice address
1370 US HIGHWAY 80 E, STE E, POOLER, GA 31322-8902
(912) 965-9605
(912) 965-9604
Mailing address
1370 US HIGHWAY 80 E, STE E, POOLER, GA 31322-8902
(912) 965-9605
(912) 965-9604
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
OPT1194
GA
332B00000X
Durable Medical Equipment & Medical Supplies
OPT1194T
GA
Other
Enumeration date
06/10/2006
Last updated
03/19/2008
Update your record
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