Blairwood Optical, Llc
LBN: Blairwood Optical, Llc
Blairwood Optical, Llc is an health care organization with primary practice located at 27184 Us Highway 80 W , Portal GA 30450-5247. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optician, Suppliers / Eyewear Supplier (Equipment, not the service). Suppliers / Eyewear Supplier (Equipment, not the service) is the primary health care specialty.
Blairwood Optical, Llc can be contacted via phone (912) 865-5300, or through Penley, Krystal Lynn via phone (912) 865-5300.
Contact Information
Primary practice address
27184 Us Highway 80 W
Portal GA 30450-5247
Phone: (912) 865-5300
Fax: (912) 865-5336
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | ||
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X |
Profile Details
| NPI number | 1851056865 |
|---|---|
| LBN Legal business name | Blairwood Optical, Llc |
| DBA Doing business as | |
| Authorized official | Penley, Krystal Lynn LDO2341 |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 4th, 2021 |
| Last updated | Dec 7th, 2021 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851056865 | NPPES |
| Georgia | Other | LDO2341 | LICENSED DISPENSING OPTICAN |
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