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Blairwood Optical, Llc
Eyewear Supplier in Portal, Georgia
NPI 1851056865

Blairwood Optical, Llc is a Eyewear Supplier based in Portal, GA. Blairwood Optical, Llc practices in Portal, GA. The NPI Number for Blairwood Optical, Llc is 1851056865 and holds a License No. (Georgia).

The current practice location address for Blairwood Optical, Llc is 27184 Us Highway 80 W, Portal, GA and can be reached out via phone at 912-865-5300 and via fax at 912-865-5336.

Location: 27184 Us Highway 80 W, Portal, GA, 30450-0710
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1851056865
Provider Name
Blairwood Optical, Llc
Credential
Provider Entity Type
Organization
Address
27184 Us Highway 80 W, Portal, GA, 30450-0710
Phone Number
912-865-5300
Fax Number
912-865-5336
Provider Enumeration Date
11/04/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LDO2341 01 GA LICENSED DISPENSING OPTICAN
institution
Provider Business Practice Location Address Details
Address
27184 Us Highway 80 W
City
Portal
State
Georgia
Zip
30450-5247
Phone Number
912-865-5300
Fax Number
912-865-5336
person
Provider Business Mailing Address Details
Address
27184 Us Highway 80 W
City
Portal
State
Georgia
Zip
30450-5247
Phone Number
912-865-5300
Fax Number
912-865-5336
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
()
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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