Provider Demographics
NPI:1922272020
Name:J-CHRISTY INC
Entity Type:Organization
Organization Name:J-CHRISTY INC
Other - Org Name:WINDER FAMILY VISION CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:C
Authorized Official - Last Name:SNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:678-425-9415
Mailing Address - Street 1:135 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:WINDER
Mailing Address - State:GA
Mailing Address - Zip Code:30680-2110
Mailing Address - Country:US
Mailing Address - Phone:678-425-9415
Mailing Address - Fax:678-425-9417
Practice Address - Street 1:135 N BROAD ST
Practice Address - Street 2:
Practice Address - City:WINDER
Practice Address - State:GA
Practice Address - Zip Code:30680-2110
Practice Address - Country:US
Practice Address - Phone:678-425-9415
Practice Address - Fax:678-425-9417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-18
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA001031152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000536434BMedicaid
GA511G700580Medicare PIN