NPI | 1346436961 |
---|---|
Doing Business As | FALLAS FAMILY VISION |
Entity Type | Organization |
Authorized Contact | HUMBERTO C FALLAS President 678-725-0690 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT001975) |
Enumeration Date | 2007-09-18 |
Last Update Date | 2019-04-05 |