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 |