| NPI | 1134945447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE L DAVISON President 770-428-0414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2024-12-30 |