NPI | 1649619511 |
---|---|
Entity Type | Organization |
Authorized Contact | LEAHANN RENE VAUGHN Director 470-448-2782 |
Organization Subpart ? | Yes |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
Enumeration Date | 2013-06-24 |
Last Update Date | 2021-09-17 |