| NPI | 1699022046 |
|---|---|
| Doing Business As | I C OPTIQUE |
| Entity Type | Organization |
| Authorized Contact | KATHY SAMUELS Owner 404-861-7253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA GA1408) |
| Enumeration Date | 2012-08-04 |
| Last Update Date | 2012-11-21 |