| NPI | 1184851800 |
|---|---|
| Doing Business As | HAZEL FAMILY EYECARE |
| Entity Type | Organization |
| Authorized Contact | TARA LEIGH FOWLER CEO 404-414-3238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT002415) |
| Enumeration Date | 2009-06-20 |
| Last Update Date | 2020-01-13 |