| NPI | 1033321369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN JAMES CLARK O PT Ician Owner 478-743-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: GA LDO001859) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |