| NPI | 1023463528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELLA ONYEKWELU Doctor Of Optometry 678-825-4077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA Opt002814) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: GA Opt002814) |
| 152WP0200X Optometrist, Pediatrics (Licence: GA Opt002814) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: GA Opt002814) | |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2016-05-03 |