| NPI | 1871922385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDER S DORFZAUN Owner/O PT Ometrist 770-422-3677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA GA754) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2015-08-11 |