| NPI | 1568604825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI MERRITT JACKSON President/Owner 404-668-4485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT002318) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2014-01-03 |