NPI | 1386694164 |
---|---|
Doing Business As | ABSOLUTE EYECARE |
Entity Type | Organization |
Authorized Contact | MARK S WIGGERS President 770-205-2520 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: GA OPT001674) |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: GA OPT001674) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2020-08-22 |