| NPI | 1760614259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GHAZAL TABRIZIPOUR Owner 404-522-8886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2010-01-27 |