| NPI | 1083042253 |
|---|---|
| Doing Business As | MARIETTA VISION PROFESSIONALS |
| Entity Type | Organization |
| Authorized Contact | PAUL SUJI President 678-903-2579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist Corneal and Contact Management |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2014-05-29 |