| NPI | 1508916701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY L WHISENANT Secretary Treasurer 770-532-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
| 152WX0102X Optometrist, Occupational Vision | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2012-08-27 |