Poole, Chad Edgar
Poole, Chad Edgar is an individual health care provider with primary practice located at 850 Gaines School Rd , Athens GA 30605-3132. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Poole, Chad Edgar can be contacted via phone (706) 850-7101.Contact Information
Primary practice address
850 Gaines School Rd
Athens GA 30605-3132
Phone: (706) 850-7101
Fax: (706) 850-7089
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT002307 | Georgia |
Profile Details
| NPI number | 1053337154 |
|---|---|
| LBN Legal business name | Poole, Chad Edgar |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Jan 17th, 2022 - about 4 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 | 1053337154 | NPPES |
| Georgia | MEDICAID | 003109146C |
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