| NPI | 1164695045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUNLE EMMANUEL OLUWADARE Managing Partner 678-482-1324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT002345) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-04-11 |