NPI 1558121640

Farrel Lee Holt, LDONCLECABOC

Practitioner Optician Macon, GA

Practice location

Address: 1401 Gray Hwy, Macon, GA 31211-1905
Phone: (478) 755-1295
Fax: (478) 755-9876
Mailing address: PO Box 402, Macon, GA 31202-0402

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 2038 (GA)

Other Technician/Technologist providers in Georgia →

Registry record

NPI: 1558121640
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Mar 2024
Record last updated: 19 Mar 2024

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.