Ghm Optical Shop

NPI #1548487382 in Pace, Florida

Provider Information

NPI Number: 1548487382
Entity Type: Organization
Organization Name: Ghm Optical Shop
Subpart: Yes (part of a larger organization)
Parent Organization: GHM OPTICAL SHOP
Primary Specialty: Ophthalmology
Enumeration Date: Apr 20, 2007
Last Updated: May 13, 2009

Practice Location

Address: 4427 HIGHWAY 90
City: Pace
State: Florida
ZIP Code: 32571-2066
Phone: (850) 994-0039

Authorized Official

Name: DR. GEORGE T MCKNIGHT
Title: OWNER PARTNER
Phone: (850) 505-7788

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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