Individual
DR. HECTOR JOSE MALLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D., F.A.A.O.
Contact information
Practice address
503 FURYS FERRY RD, AUGUSTA, GA 30907-9059
(706) 860-8899
(706) 863-7822
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(866) 795-4020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT001286
GA
152WC0802X
Corneal and Contact Management Optometrist
OPT001286
GA
152WL0500X
Low Vision Rehabilitation Optometrist
OPT001286
GA
Other
Enumeration date
12/01/2008
Last updated
09/11/2024
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