Pickens Eye Clinic

NPI #1508900879 in Jasper, Georgia

Provider Information

NPI Number: 1508900879
Entity Type: Organization
Organization Name: Pickens Eye Clinic
Primary Specialty: Optometrist - Corneal and Contact Management
Enumeration Date: Feb 19, 2007
Last Updated: Jun 24, 2008

Practice Location

Address: 360 W CHURCH ST
City: Jasper
State: Georgia
ZIP Code: 30143-1400
Phone: (706) 692-2878

Authorized Official

Name: PAT BLACK
Title: INSURANCE MANAGER
Phone: (706) 692-2878

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist - Corneal and Contact Management — Corneal and Contact Management	152WC0802X	Primary

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