| NPI | 1205057437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWIGHT D BOYD President 678-208-2393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT001232) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA 02111) |
| 152W00000X Optometrist (Licence: GA 001232) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2016-03-09 |