| NPI | 1437753860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE RENE URREGO Receptionist 470-440-4099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2020-11-25 |