NPI | 1124151907 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD HERMAN POTTLITZER Owner President 770-949-4223 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT000700) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2020-08-22 |