NPI | 1700924636 |
---|---|
Entity Type | Organization |
Authorized Contact | LEWIS STEINFELD President 912-234-9214 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: GA 302625951) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: GA 302625951) |
152WP0200X Optometrist, Pediatrics (Licence: GA 302625951) | |
152WS0006X Optometrist, Sports Vision (Licence: GA 302625951) | |
152WX0102X Optometrist, Occupational Vision (Licence: GA 302625951) | |
156FC0800X Technician/Technologist, Contact Lens (Licence: GA 302625951) | |
156FC0801X Technician/Technologist, Contact Lens Fitter (Licence: GA 302625951) | |
156FX1800X Technician/Technologist, Optician (Licence: GA 302625951) | |
Enumeration Date | 2007-02-02 |
Last Update Date | 2013-01-07 |