Organization
WEST GEORGIA OPTICAL, LLC
Active
Parent organization
WEST GEORGIA EYE CARE CENTER
Other names
West Georgia Optical, Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST GEORGIA EYE CARE CENTER
Authorized official
MR. MARK HOLLOWAY (PRESIDENT)
(706) 323-3491
Entity
Organization
Contact information
Practice address
2616 WARM SPRINGS RD, SUITE A, COLUMBUS, GA 31904-5323
(706) 323-0149
(706) 660-9191
Mailing address
2616 WARM SPRINGS RD, SUITE A, COLUMBUS, GA 31904-5323
(706) 323-0149
(706) 660-9191
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
001254
GA
332H00000X
Eyewear Supplier
017594
GA
332H00000X
Eyewear Supplier
030005
GA
332H00000X
Eyewear Supplier
034249
GA
332H00000X
Eyewear Supplier
039057
GA
332H00000X
Eyewear Supplier
047418
GA
332H00000X
Eyewear Supplier
049643
GA
332H00000X
Eyewear Supplier
054799
GA
Other
Enumeration date
11/08/2007
Last updated
10/05/2022
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