| NPI | 1033462965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE RENEE HOOKS Optician/ Manager 912-478-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: GA 001291) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA 001315) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2012-10-16 |