MEDICARE: GEORGE'S OPTICAL SHOP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	615	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093993081
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GEORGE'S OPTICAL SHOP

Provider Business Mailing Address
First Line	:	1125 N ROAD ST
Second Line	:
City	:	ELIZABETH CITY
State	:	NC
Zip	:	27909-3334
Country	:	US
Telephone Number	:	252-331-7922
Fax Number	:

Provider Business Practice Location Address
First Line	:	1125 N ROAD ST
Second Line	:
City	:	ELIZABETH CITY
State	:	NC
Zip	:	27909-3334
Country	:	US
Telephone Number	:	252-331-7922
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. GEORGE A. OVERMAN
Credential	:	OPTICIAN
Telephone Number	:	252-331-7922

Provider Enumeration Date	:	02/01/2008
Last Update Date	:	02/01/2008

Similar Medicare Providers

1124025846 — DR. RICHARD CHRISTIAN KING D.P.M.
Practice Location Address:

1121 N ROAD ST , SUITE B
ELIZABETH CITY, NC
27909-3334

Practice Phone: 252-338-2111
Practice Fax: 252-338-2113

1992859847 — MR. GEORGE ANDERSON OVERMAN OPTICIAN
Practice Location Address:

1125 N ROAD ST
ELIZABETH CITY, NC
27909-3334

Practice Phone: 252-331-7922
Practice Fax: 252-331-2111

1649578998 — LOLA ORTIZ
Practice Location Address:

1113 N ROAD ST
ELIZABETH CITY, NC
27909-3334

Practice Phone: 252-337-9844
Practice Fax: 252-337-9845

1427343797 — MS LOLA LLC
Practice Location Address:

1113 N ROAD ST
ELIZABETH CITY, NC
27909-3334

Practice Phone: 252-337-9844
Practice Fax: 252-337-9845

1427066505 — DR. MARVIN JEROME LEWIS D.C.
Practice Location Address:

3334 FM 1092 RD STE 450
MISSOURI CITY, TX
77459-2298

Practice Phone: 281-499-0123
Practice Fax: 281-499-0240

1962517714 — RCG INDIANA, L.L.C.
Practice Location Address:

3334 LAKE CITY HWY
WARSAW, IN
46580-3923

Practice Phone: 574-269-3553
Practice Fax: 574-269-6814

Directions to “GEORGE'S OPTICAL SHOP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.