| NPI | 1487720504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LEHMANN Practice Administrator 770-813-0026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2015-07-21 |