| NPI | 1619415718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADELINE C GOH Owner/O PT Ometrist 404-720-7721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT002903) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2025-03-25 |