| NPI | 1609530187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL L KAUFMAN Director 678-892-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2021-10-29 |