| NPI | 1205009669 |
|---|---|
| Doing Business As | COLONY SQUARE EYE CARE |
| Entity Type | Organization |
| Authorized Contact | DARREN S LEVINE President 404-874-0874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT001339) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2013-01-23 |