| NPI | 1487377925 |
|---|---|
| Doing Business As | FAMILY EYE CLINIC AT TOWNE LAKE |
| Entity Type | Organization |
| Authorized Contact | ELISE BUGENSKE Optometrist 470-277-4902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2022-09-20 |