| NPI | 1922118397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROD ROESER CEO 678-781-7373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-11-15 |