NPI | 1174263065 |
---|---|
Former Legal Business Name | FOCUS ON VISION |
Entity Type | Organization |
Authorized Contact | MASTOUREH AHMADPOUR Owner/Optometrist 770-420-9877 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2022-03-30 |
Last Update Date | 2022-03-30 |