NPI | 1205140126 |
---|---|
Doing Business As | ACWORTH FAMILY EYECARE |
Entity Type | Organization |
Authorized Contact | ANTHONY DYLAN REACH Owner 770-974-3153 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: GA 1859) |
Enumeration Date | 2010-08-03 |
Last Update Date | 2010-08-03 |