| NPI | 1730332370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANTRELL HART-MORELAND President 770-914-3399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: GA 1761) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2022-06-14 |