| NPI | 1780654483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY GLENN JERUSS Doctor/Owner 770-578-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: GA 1332-T) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2008-12-01 |