NPI | 1235553157 |
---|---|
Doing Business As | COLUMBUS EYE ASSOCIATES, PC |
Entity Type | Organization |
Authorized Contact | C WATT TATE President 706-322-5528 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: GA OPT002724) |
Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT002724) |
Enumeration Date | 2014-02-12 |
Last Update Date | 2014-02-27 |