NPI | 1750768073 |
---|---|
Entity Type | Organization |
Authorized Contact | BOBBY DARRELL SMITH O PT Ometrist/President 770-487-8013 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT002729) |
Enumeration Date | 2015-05-06 |
Last Update Date | 2015-05-06 |