NPI | 1568665404 |
---|---|
Doing Business As | TAKLE EYE GROUP |
Entity Type | Organization |
Authorized Contact | LEIV M TAKLE Owner / CEO 770-228-3836 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Additional Taxonomies | 152W00000X Optometrist |
Enumeration Date | 2007-06-07 |
Last Update Date | 2023-11-30 |