| NPI | 1780572933 |
|---|---|
| Other Name | MARIETTA EYE OPTICAL JOHNS CREEK |
| Entity Type | Organization |
| Authorized Contact | REBECCA THACKSTON Manager 770-427-8111 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2025-06-26 |
| Last Update Date | 2025-06-26 |