| NPI | 1063680833 |
|---|---|
| Doing Business As | SURESIGHT EYECARE CANTON |
| Entity Type | Organization |
| Authorized Contact | DAVID JACKSON WAYLAND President 770-345-5220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA opt0001624) |
| Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: GA GA1769) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2009-04-02 |