NPI 1114959376

Paul D Willis, LDO

Practitioner Optician Macon, GA

Practice location

Address: 3131 Pio Nono Ave, Macon, GA 31206-3027
Phone: (478) 781-2818
Fax: (478) 746-9865

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence LDO001314 (GA)

Other Technician/Technologist providers in Georgia →

Registry record

NPI: 1114959376
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jul 2006
Record last updated: 9 Jul 2007

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.