Colquitt Optical House

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

GA805 Issued in GA

Legal business name

COLQUITT OPTICAL HOUSE

Practice address

22 1St Ave SE
Moultrie, GA 31768-4750

Phone

(229) 890-2466

NPI assigned

Jul 23, 2008

Last updated

Jul 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Gail Strickland Hill, LDO

Title

Licensed Dispensing Optician/ Owner

Phone

(229) 891-0525

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1770748287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 1ST AVE SE",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317684750",
            "telephone_number": "229-890-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 1ST AVE SE",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317684750",
            "telephone_number": "229-890-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLQUITT OPTICAL HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "STRICKLAND",
        "authorized_official_title_or_position": "LICENSED DISPENSING OPTICIAN/ OWNER",
        "authorized_official_telephone_number": "229-891-0525",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "GA",
            "license": "GA805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colquitt County Board of Health
• Colquitt County Hospital Authority
• Colquitt County Hospital Authority (Colquitt Regional Medical Center Home IV)
• Colquitt Emergency Group LLC
• Colquitt Family Care, Inc.
• Colquitt Pathology PC
• Colquitt Regional Anesthesia, LLC
• Colquitt Regional Cardiology, LLC
• Colquitt Regional Dermatology, LLC
• Colquitt Regional Ear Nose & Throat (Sterling Group Ear, Nose & Throat)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.