Organization · Type 2 NPI

Tift Regional Health System Inc.

Eyewear Supplier · Tifton, GA

NPI number 1639814296 Active

Practice location

1803 Old Ocilla Rd
Tifton, GA 31794-1617

Call (229) 386-2181 Map

Mailing address

PO Box 2650
Tifton, GA 31793-2650

Specialties and licenses

Taxonomy	Code	License
Eyewear Supplier Primary	332H00000X	None listed

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

6 other providers at this address

Other eyewear supplier providers in Tifton

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NPI record

NPI: 1639814296
Entity type: Organization (Type 2)
Issued: Apr 28, 2022
Last updated: Jun 24, 2022
Status: Active

Other names

<unavail>
Tift Regional Optical · doing business as
Tift Regional Optical · doing business as

Authorized official

Christopher Dorman
President/ceo
(229) 353-6104

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1639814296

Tift Regional Health System Inc.'s National Provider Identifier is 1639814296, issued on Apr 28, 2022. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Tifton, GA. The record was last updated on Jun 24, 2022.