| NPI | 1982677357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE MAITAS ARENCIBIA Doctor Owner 706-896-3303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT001176) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2008-06-03 |