| NPI | 1487381380 |
|---|---|
| Doing Business As | WESTSIDE EYE CENTER |
| Entity Type | Organization |
| Authorized Contact | KATERIN AWILDA ORTIZ President 404-446-0343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2022-09-27 |