Provider Demographics
NPI:1336268903
Name:1 HOUR OPTICAL P C
Entity Type:Organization
Organization Name:1 HOUR OPTICAL P C
Other - Org Name:DR GARY G CROOK & ASSOCIATES PA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:G
Authorized Official - Last Name:CROOK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:706-793-6211
Mailing Address - Street 1:2115 WINDSOR SPRING RD
Mailing Address - Street 2:SUITE 23
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30906-4855
Mailing Address - Country:US
Mailing Address - Phone:706-793-6211
Mailing Address - Fax:706-793-6318
Practice Address - Street 1:2115 WINDSOR SPRING RD
Practice Address - Street 2:SUITE 23
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30906-4855
Practice Address - Country:US
Practice Address - Phone:706-793-6211
Practice Address - Fax:706-793-6318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty