| NPI | 1073859187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIDNEY ALAN GOTTLIEB President/Optometrist 770-845-1098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT001095) |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2012-12-17 |