Doolin, George William

Doolin, George William is an individual health care provider with primary practice located at 417A Racetrack Rd Nw , Fort Walton Beach FL 32547-4600. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Doolin, George William can be contacted via phone (850) 315-8861.

Contact Information

Primary practice address
417A Racetrack Rd Nw Fort Walton Beach FL 32547-4600
Phone: (850) 315-8861
Fax: (850) 864-2844
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC1405 Florida

Profile Details

NPI number 1396741633
LBN Legal business name Doolin, George William
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Aug 3rd, 2017 - about 7 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 1396741633 NPPES
Florida Other 593537436 TRICARE
Florida Other A11078 TRICARE
Florida Other 19465 TRICARE

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