| NPI | 1104010594 |
|---|---|
| Doing Business As | ROSWELL EYE CLINIC,INC |
| Entity Type | Organization |
| Authorized Contact | SHARON B MOSCOW Optometrist 770-992-7620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA 861-T) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2011-02-28 |