| NPI | 1619409729 |
|---|---|
| Doing Business As | EYE ETC. |
| Entity Type | Organization |
| Authorized Contact | COLAY ANQUANETTE WHITE Owner 404-523-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: GA 002600) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA GA002600) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2018-06-22 |