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Organization

WRIGHT EYE CARE, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JULIE ANN WRIGHT O.D. (OWNER/OPTOMETRIST)
(912) 576-8980
Entity
Organization

Contact information

Practice address
1891 GA HIGHWAY 40 E, SUITE 1108, KINGSLAND, GA 31548-6572
(912) 576-8980
(912) 576-8842
Mailing address
PO BOX 1015, KINGSLAND, GA 31548-1015
(912) 576-8980
(912) 576-8842

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 001626
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00765047B
GA
01
GRP4902
MEDICARE PTAN
GA
Enumeration date
10/11/2006
Last updated
06/23/2008
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