| NPI | 1265622633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH ALLEN JONES Owner 770-431-1713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT002048) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2023-05-03 |