Provider Demographics
NPI:1053285429
Name:EYE CAN SEE 3 OF JACKSON LLC
Entity type:Organization
Organization Name:EYE CAN SEE 3 OF JACKSON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:FRITZIUS
Authorized Official - Suffix:
Authorized Official - Credentials:LDO
Authorized Official - Phone:470-682-7900
Mailing Address - Street 1:2655 TURNER RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSON
Mailing Address - State:GA
Mailing Address - Zip Code:30292-3316
Mailing Address - Country:US
Mailing Address - Phone:470-682-7900
Mailing Address - Fax:
Practice Address - Street 1:38 OAK ST
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:GA
Practice Address - Zip Code:30233-1941
Practice Address - Country:US
Practice Address - Phone:678-782-3332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EYE CAN SEE EYEWEAR INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty