| NPI | 1861728800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA MILLS Owner/Optometrist 770-819-4981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT002269) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC4189) |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2009-10-27 |