| NPI | 1972836013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MARSHALL JAIKARAN O PT Ometrist/Owner 678-691-0073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT002111) |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2010-06-23 |