Organization
JOSEPH PITTMAN OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH EDWARD PITTMAN OD (OWNER)
(912) 368-2020
Entity
Organization
Contact information
Practice address
556 W OGLETHORPE HWY, HINESVILLE, GA 31313-4489
(912) 368-2020
(912) 368-2049
Mailing address
556 W OGLETHORPE HWY, HINESVILLE, GA 31313-4489
(912) 368-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
513045421A
—
GA
01
—
892142
BCBSGA
GA
01
—
OPT002043
TRICARE SOUTH
GA
Enumeration date
12/12/2007
Last updated
05/12/2010
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