| NPI | 1851571384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ROBERT ZECHMANN Optometrist 912-285-2021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: GA 0976T) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2011-08-22 |