| NPI | 1225743289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE ABERNATHY Licensed Dispensing Optician 706-383-8510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 152W00000X Optometrist |
| 156FC0800X Technician/Technologist, Contact Lens | |
| Enumeration Date | 2023-01-13 |
| Last Update Date | 2023-01-13 |