Organization
EYE CARE OF WAYCROSS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ROBERT ZECHMANN OD (OPTOMETRIST)
(912) 285-2021
Entity
Organization
Contact information
Practice address
2215 MEMORIAL DR, SUITE 25, WAYCROSS, GA 31501-0983
(912) 285-2021
(912) 285-2558
Mailing address
2215 MEMORIAL DR, SUITE 25, WAYCROSS, GA 31501-0983
(912) 285-2021
(912) 285-2558
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
0976T
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000348906A
—
GA
Enumeration date
11/13/2007
Last updated
08/22/2011
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