| NPI | 1033449046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT BAYLARD Owner 678-965-5558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT002005) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2023-05-12 |