Whalio Doctors

NPI 1093953002

South Eastern Eye Center, Office of Dr Nacondus Gamble

Organisation Optometrist Apo, AA

Practice location

Address
345 Lindquist Bldg. 71, Apo, AA 31314-0345
Phone
(912) 876-1101
Fax
(912) 877-4244
Mailing address
PO Box 3700, Fort Stewart, GA 31315-3700

Authorised official

Name
Nacondus Grayson Gamble
Title
Owner
Phone
(912) 876-1101

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence OPT002433 (GA)

Registry record

NPI
1093953002
Entity type
Organization
NPI issued
29 Jan 2009
Record last updated
17 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.