| NPI | 1871054692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MASTOUREH AHMADPOUR Optometrist/Owner 404-931-3304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WX0102X Optometrist, Occupational Vision |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2019-03-26 |