Dillard, James Donald

Dillard, James Donald is an individual health care provider with primary practice located at 511 Gaines School Rd , Athens GA 30605-3125. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dillard, James Donald can be contacted via phone (706) 543-6006.

Contact Information

Primary practice address
511 Gaines School Rd Athens GA 30605-3125
Fax: (706) 543-0628
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT000704 Georgia

Profile Details

NPI number 1780771063
LBN Legal business name Dillard, James Donald
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Jul 9th, 2007 - about 17 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 1780771063 NPPES
Georgia MEDICAID 000095554D

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