| NPI | 1164180055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON HAWKINS Certified Ophthalmic Assistant 770-367-7174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1101X Technician/Technologist, Ophthalmic Assistant |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2021-12-07 |