| NPI | 1114351046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIUS NATHANIEL SKEETE Owner/Optometrist 770-623-8564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA 001589) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA Opt 001589) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2018-02-16 |