NPI | 1760951107 |
---|---|
Doing Business As | ATLAS PLLC |
Entity Type | Organization |
Authorized Contact | ANTWAN PERCY RANDOLPH Owner 605-642-2533 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy |
Enumeration Date | 2018-11-14 |
Last Update Date | 2022-03-16 |