Provider Demographics
NPI:1851769004
Name:DEBORAH F MCDONALD OD PC
Entity Type:Organization
Organization Name:DEBORAH F MCDONALD OD PC
Other - Org Name:NORTH OAK FAMILY EYE CARE & OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:F
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:OD/OWNER
Authorized Official - Phone:229-247-8484
Mailing Address - Street 1:3001 N ASHLEY ST
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31602-1709
Mailing Address - Country:US
Mailing Address - Phone:229-247-8484
Mailing Address - Fax:229-247-7996
Practice Address - Street 1:3001 N ASHLEY ST
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602-1709
Practice Address - Country:US
Practice Address - Phone:229-247-8484
Practice Address - Fax:229-247-7996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-04
Last Update Date:2015-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty