Organization · Type 2 NPI
Pamela Correll, LLC
Eyewear Supplier · Athens, GA
NPI number
1295025674
Active
Practice location
2440 W Broad St Ste 14
Athens, GA 30606-3428
Fax (706) 546-5494
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier Primary | 332H00000X | 001119 (GA) |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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About NPI 1295025674
Pamela Correll, LLC's National Provider Identifier is 1295025674, issued on Apr 19, 2011. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Athens, GA. The record was last updated on Apr 19, 2011.