| NPI | 1184757312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE GALLAGHER Optometrist, Manager 770-614-8577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA ga002162) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |