Organization
HABESHAM EYE CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC W COLEGROVE O.D. (PRESIDENT)
(706) 768-5198
Entity
Organization
Contact information
Practice address
35 PARKER LN, RICHMOND HILL, GA 31324-3695
(706) 768-5198
Mailing address
PO BOX 1614, RICHMOND HILL, GA 31324-1614
(706) 768-5198
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT001763
GA
Other
Enumeration date
06/29/2006
Last updated
02/20/2019
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