NPI | 1821413006 |
---|---|
Doing Business As | OPTIQUE ATLANTA |
Entity Type | Organization |
Authorized Contact | PETER J MORESI President/Sole Member 678-939-2709 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT001083) |
Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT002496) |
Enumeration Date | 2014-02-25 |
Last Update Date | 2014-02-25 |