Eye-site Optical Of Marietta

NPI 1063638476 - Technician/Technologist - 156F00000X

NPI Details
NPI 1063638476
Enumeration Date 04/17/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RICHARD RICHARD
Position PRESIDENT
Phone (770) 429-1847
Fax
Practice Location
596 COBB PKWY S
MARIETTA GA, 30060-6517, US
Phone (770) 429-1847
Fax
Business Location
596 COBB PKWY S
MARIETTA GA, 30060-6517, US
Phone
Fax
Toxanomy
Taxonomy Code 156F00000X
License State Georgia
License Number 410
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According to our database, Eye-site Optical Of Marietta NPI is 1063638476, taxonomy code is 156F00000X and license number is 410, license state is located at Georgia. Eye-site Optical Of Marietta physically located at 596 Cobb Pkwy S, Marietta GA, 30060-6517. NPI Number 1033115704 has the healthcare provider type.

1063638476 NPI number is provided on an as is basis without warranty of any kind. 1063638476 is maintained by the National Plan & Provider Enumeration System. The contents of Eye-site Optical Of Marietta are for informational purposes only.