| NPI | 1306339841 |
|---|---|
| Doing Business As | OPTIC OWL COMPANY |
| Entity Type | Organization |
| Authorized Contact | PATRICIA FUKUZATO Optometrist 678-807-7482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA 002423) |
| Enumeration Date | 2018-06-09 |
| Last Update Date | 2018-07-31 |