| NPI | 1316129463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA J WASHINGTON Owner/Optometrist 678-682-5524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2019-10-11 |