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PAMELA CORRELL LLC NPI 1295025674


NPI Information

NPI: 1295025674
Provider Name: PAMELA CORRELL, LLC

Doing Business As: ONE WAY EYEGLASSES

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
2440 W BROAD ST STE 14
ATHENS, GA
ZIP 30606
Phone: (706) 546-5285
Get Directions

PAMELA CORRELL, LLC is an eyewear supplier in Athens, GA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. PAMELA CORRELL, LLC NPI is 1295025674. The provider is registered as an organization entity type.
The provider Is Doing Business As One Way Eyeglasses.

The provider's business location address is:

2440 W BROAD ST STE 14
ATHENS, GA
ZIP 30606-428
Phone: (706) 546-5285
Fax: (706) 546-5494

The provider's authorized official is Pamela E Correll .
The authorized official title is Owner and has the following contact phone number (706) 546-5285.

The enumeration date for this NPI number is 4/19/2011 and was last updated on 4/19/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear Supplier001119GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15946010001MEDICARE NSCGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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