Blairwood Optical, Llc is a Technician/technologist (Optician) Store in Portal, Georgia. It is situated at 27184 Us Highway 80 W, Portal and its contact number is 912-865-5300. The authorized person of Blairwood Optical, Llc is Krystal Lynn Penley
who is C0 Owner of the store and their contact number is 912-865-5300. Blairwood Optical, Llc is definition to come...
Complete Center Profile:
Blairwood Optical, Llc Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the eye care center or can call on the below given phone number for appointment.
Specialization:
Optician, Technician/technologist
Address:
27184 Us Highway 80 W, Portal, Georgia, 30450-5247
Phone:
912-865-5300
Fax:
912-865-5336
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name:
Krystal Lynn Penley
Position:
C0 Owner
Contact Number:
912-865-5300
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Blairwood Optical, Llc center are as mentioned below.
NPI Number:
1851056865
NPI Enumeration Date:
04 Nov, 2021
NPI Last Update On:
07 Dec, 2021
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Blairwood Optical, Llc are as mentioned below.
Specialization
License Number
State
Status
Eyewear Supplier (equipment, Not The Service)
Primary
Optician
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
LDO2341
Other
Georgia
Licensed Dispensing Optican
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Blairwood Optical, Llc Po Box 710, Portal, Georgia
Zip:
30450-0710
Phone Number:
912-865-5300
Fax Number:
912-865-5336
Patients can reach Blairwood Optical, Llc at 27184 Us Highway 80 W, Portal, Georgia or can call to book an appointment on 912-865-5300. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.