| NPI | 1003255597 |
|---|---|
| Doing Business As | EYEDEOLOGY VISION CENTER & OPTIQUE |
| Entity Type | Organization |
| Authorized Contact | DIVYA BHAKTA Optometrist 678-778-1985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT002708) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2013-06-18 |