Beverly, James T.

Beverly, James T. is an sole proprietor health care provider with primary practice located at 635 Pio Nono Ave , Macon GA 31204. He recently has 7 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Beverly, James T. can be contacted via phone (478) 803-0001.

Contact Information

Primary practice address
635 Pio Nono Ave Macon GA 31204
Fax: (478) 254-4997
Website:

Profile Details

NPI number 1376562850
LBN Legal business name Beverly, James T.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated Dec 31st, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376562850 NPPES
Georgia MEDICAID 000687981G

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