| NPI | 1407145782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CHRISTY SNYDER Owner 404-401-6699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT0001031) |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: GA OPT0001031) |
| 152WP0200X Optometrist Pediatrics (Licence: GA OPT0001031) | |
| 152WS0006X Optometrist Sports Vision (Licence: GA OPT0001031) | |
| 152WX0102X Optometrist Occupational Vision (Licence: GA OPT0001031) | |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2023-03-07 |