| NPI | 1023722188 |
|---|---|
| Doing Business As | BOLT EYE GROUP |
| Entity Type | Organization |
| Authorized Contact | SUSAN MARIE REIMBOLD Owner 770-776-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2023-04-05 |