Popham & Lynch Optical, Inc.

Primary specialty

OpticianTaxonomy code 156FX1800X

License

905 Issued in GA

Legal business name

POPHAM & LYNCH OPTICAL, INC.

Doing business as

Glynn Optical

Practice address

2414A Parkwood Dr
Brunswick, GA 31520-4721

Phone

(912) 264-4015

NPI assigned

Mar 24, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Burnea Joseph Joubert Jr., L.D.O.

Title

President

Phone

(912) 264-4015

Specialties & licenses 1

Addresses

Other names 1

• Glynn Optical Doing business as

Locations

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1790802619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414A PARKWOOD DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204721",
            "telephone_number": "912-264-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414A PARKWOOD DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204721",
            "telephone_number": "912-264-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPHAM & LYNCH OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-24",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "JOUBERT",
        "authorized_official_first_name": "BURNEA",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-264-4015",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "L.D.O."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glynn Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optician in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Optician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.