| NPI | 1083863161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIE Y W CHEN CEO 770-448-5587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: GA 046583) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT002370) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2010-08-02 |