Lee County Optical LLC

NPI #1255649273 in Leesburg, Georgia

Provider Information

NPI Number: 1255649273
Entity Type: Organization
Organization Name: Lee County Optical LLC
Primary Specialty: Optometrist
Enumeration Date: Sep 24, 2010
Last Updated: Dec 6, 2010

Practice Location

Address: 1569 HIGHWAY 19 SOUTH
City: Leesburg
State: Georgia
ZIP Code: 31763
Phone: (229) 439-1200

Authorized Official

Name: DR. RENEE GORDON, O.D.
Title: OPTOMETRIST
Phone: (229) 439-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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