| NPI | 1609920289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER KLEIN Back Office Manager 770-978-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT001935) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2013-02-25 |