William R. Shockley, Od

LBN: William R. Shockley, Od
William R. Shockley, Od is an health care organization with primary practice located at 47 Jefferson St , Newnan GA 30263-1948. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. William R. Shockley, Od can be contacted via phone (770) 254-0200, or through Shockley, William via phone (770) 254-0200.

Contact Information

Primary practice address
47 Jefferson St Newnan GA 30263-1948
Phone: (770) 254-0200
Fax: (770) 254-1281
Website:
Map and Directions
Authorized official contact:
Name: Shockley, William Doctor of Optometry (OD)
Phone: (770) 254-0200

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 0786430001 Georgia

Profile Details

NPI number 1669644522
LBN Legal business name William R. Shockley, Od
DBA Doing business as
Authorized official Shockley, William Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 31st, 2008
Last updated Jul 16th, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669644522 NPPES
Georgia MEDICAID 000443484B

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