| NPI | 1033128244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM WALLY SHAIKH President 404-468-8717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT002051) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AL SA39TA599) |
| 152W00000X Optometrist (Licence: OK 2323) | |
| 152W00000X Optometrist (Licence: TN 223S) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-08-22 |