| NPI | 1134335409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN KENDIG SVP Of Vision Managed Care 678-524-4282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2025-09-24 |