NPI | 1952761694 |
---|---|
Doing Business As | ADVANCED EYECARE OPTICAL OF OCONEE |
Entity Type | Organization |
Authorized Contact | BRANDON VAN NELMS President 706-310-5050 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA OPT2905) |
Enumeration Date | 2016-02-23 |
Last Update Date | 2016-02-23 |