Pamela Correll, LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

001119 Issued in GA

Legal business name

PAMELA CORRELL, LLC

Practice address

2440 W Broad St Ste 14
Athens, GA 30606-3428

Phone

(706) 546-5285

Fax

(706) 546-5494

NPI assigned

Apr 19, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Pamela E Correll, LDO

Title

Owner

Phone

(706) 546-5285

Specialties & licenses 1

Addresses

Other names 1

• One Way Eyeglasses Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1295025674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 W BROAD ST STE 14",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306063428",
            "telephone_number": "706-546-5285",
            "fax_number": "706-546-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 W BROAD ST STE 14",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306063428",
            "telephone_number": "706-546-5285",
            "fax_number": "706-546-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA CORRELL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "CORRELL",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-546-5285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "GA",
            "license": "001119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One Way Eyeglasses",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Pair, MSN, FNP-BC
• Allison Conway Palmer, MS, LAT, ATC
• Brittany Leigh Palmer, NP
• Judy Palmer, RN
• Orlando Democardo Palmer, MBBS
• Pusparani Panda, NP
• Rakshya Pandey
• Julian Allen Floresca Pangilinan
• Richard Panico, MD
• Hector Amado Pantaleon, MD

• Eyewear Supplier in Athens, GA
• Providers in Athens, GA by specialty
• Eyewear Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.