NPI 1184704785

Southern Eyecare INC

Organisation Eyewear Supplier Savannah, GA

Practice location

Address: 415 Eisenhower Dr Suite 4, Savannah, GA 31406-2633
Phone: (912) 352-3997
Mailing address: 415 Eisenhower Dr STE 4, Savannah, GA 31406-2633

Authorised official

Name: John David Parker
Title: Optician
Phone: (912) 352-3997

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence 1130 (GA)

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Registry record

NPI: 1184704785
Entity type: Organization
NPI issued: 17 Oct 2006
Record last updated: 31 Jan 2008

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.