| NPI | 1568811610 |
|---|---|
| Doing Business As | EYES ON TOWNE LAKE |
| Entity Type | Organization |
| Authorized Contact | JENNIFER DATTOLO Optometrist/Partner 770-702-5996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA 001878) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-08-29 |