Dillard, James Donald
Dillard, James Donald is an individual health care provider with primary practice located at 511 Gaines School Rd , Athens GA 30605-3125. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dillard, James Donald can be contacted via phone (706) 543-6006.Contact Information
Primary practice address
511 Gaines School Rd
Athens GA 30605-3125
Phone: (706) 543-6006
Fax: (706) 543-0628
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT000704 | Georgia |
Profile Details
| NPI number | 1780771063 |
|---|---|
| LBN Legal business name | Dillard, James Donald |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780771063 | NPPES |
| Georgia | MEDICAID | 000095554D |
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