| NPI | 1538309851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD I GINSBURG Treasurer 770-380-0346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA 1143T) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: GA 1143T) |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2009-02-26 |