Poole, Chad Edgar

Poole, Chad Edgar is an individual health care provider with primary practice located at 850 Gaines School Rd , Athens GA 30605-3132. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Poole, Chad Edgar can be contacted via phone (706) 850-7101.

Contact Information

Primary practice address
850 Gaines School Rd Athens GA 30605-3132
Phone: (706) 850-7101
Fax: (706) 850-7089
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT002307 Georgia

Profile Details

NPI number 1053337154
LBN Legal business name Poole, Chad Edgar
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jan 17th, 2022 - about 2 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 1053337154 NPPES
Georgia MEDICAID 003109146C

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