Provider Demographics
NPI:1386630457
Name:DR DAVID O PEED OD
Entity Type:Organization
Organization Name:DR DAVID O PEED OD
Other - Org Name:PREFERRED EYECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:O
Authorized Official - Last Name:PEED
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:706-660-8880
Mailing Address - Street 1:6501 VETERANS PKWY
Mailing Address - Street 2:SUIT 1B
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31909-3169
Mailing Address - Country:US
Mailing Address - Phone:706-660-8880
Mailing Address - Fax:706-660-8882
Practice Address - Street 1:6501 VETERANS PKWY
Practice Address - Street 2:SUIT 1B
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909-3169
Practice Address - Country:US
Practice Address - Phone:706-660-8880
Practice Address - Fax:706-660-8882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1056152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty