NPI | 1205056173 |
---|---|
Entity Type | Organization |
Authorized Contact | HERMAN ANTHONY KWONG President 770-979-2198 |
Organization Subpart ? | No |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: GA 1934) |
Enumeration Date | 2007-04-26 |
Last Update Date | 2008-06-03 |