| NPI | 1154834505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE J HERNANDEZ VP Admin Srvs./Cco 404-851-6378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2023-01-11 |