Organization · Type 2 NPI
Blairwood Optical, LLC
Eyewear Supplier · Portal, GA
NPI number
1851056865
Active
Practice location
27184 US Highway 80 W
Portal, GA 30450-5247
Fax (912) 865-5336
Mailing address
PO Box 710
Portal, GA 30450-0710
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optician | 156FX1800X | None listed |
| 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.
About NPI 1851056865
Blairwood Optical, LLC's National Provider Identifier is 1851056865, issued on Nov 4, 2021. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Portal, GA. The record was last updated on Dec 7, 2021.