| NPI | 1508495474 |
|---|---|
| Former Legal Business Name | LANIER EYE CARE, LLC |
| Entity Type | Organization |
| Authorized Contact | DEREK ALAN BLACK Owner/Member 404-697-2850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2021-10-07 |