Provider Demographics
NPI:1952360646
Name:PRECISION OPTICAL P.C.
Entity Type:Organization
Organization Name:PRECISION OPTICAL P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OPTIMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:ADKINS
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:O D
Authorized Official - Phone:706-660-0191
Mailing Address - Street 1:4521 17TH AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904
Mailing Address - Country:US
Mailing Address - Phone:706-660-0191
Mailing Address - Fax:706-596-8388
Practice Address - Street 1:4521 17TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904
Practice Address - Country:US
Practice Address - Phone:706-660-0191
Practice Address - Fax:706-596-8388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-21
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
5250200001Medicare NSC