| NPI | 1407246010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RATIDZO BONNIE MACHARAGA Owner/Optometrist 404-290-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA Opt002829) |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2023-11-16 |