Weaver, Otis

Weaver, Otis is an sole proprietor health care provider with primary practice located at 4765 Memorial Dr , Decatur GA 30032-1417. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Weaver, Otis can be contacted via phone (404) 296-2307.

Contact Information

Primary practice address
4765 Memorial Dr Decatur GA 30032-1417
Phone: (404) 296-2307
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X LDO001204 Georgia

Profile Details

NPI number 1801292016
LBN Legal business name Weaver, Otis
Credentials LICENSED OPTICIAN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2014
Last updated Nov 16th, 2014 - about 12 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.

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