1 Hour Optical P C
Organization Active NPI Optometrist · Augusta, GA
NPI 1295721082 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1295721082
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- GA717 (GA)
- Legal business name
- 1 HOUR OPTICAL P C
- Practice address
- 217 Bobby Jones Expy
Augusta, GA 30907-5255 - Phone
- (706) 860-1171
- Fax
- (706) 860-1841
- NPI assigned
- Sep 27, 2005
- Organization subpart
- No
Authorized official
- Name
- Gary G Crook, OD
- Title
- President
- Phone
- (706) 860-1171
Practitioners 4
-
Gary G Crook, O. D.
-
Hector Jose Mallar, O.D., F.A.A.O.
-
Regina Hamlin, O.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | GA717 | GA | Yes |
Addresses
Primary practice location
217 Bobby Jones Expy
Augusta, GA 30907-5255
Mailing address
217 Bobby Jones Expy
Augusta, GA 30907-5255
Phone (706) 860-1171
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DPG717 | Medicaid | SC | |
| 5132270001 | Other | DMERC | |
| 52540781004 | Other | GA | BCBS |
| DAG983 | Medicaid | SC | |
| 5055266711 | Other | GA | TRICARE |
| GA0717 | Other | GA | EYEMED |
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.