| NPI | 1285065938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH M BOXER Optometrist/Owner 404-321-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT001183) |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2013-12-06 |