| NPI | 1417477902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN DAVID CHAO O PT Ometrist 404-556-7656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT002756) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2022-07-21 |