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 9 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
Remove 1063638476 NPI Number
 

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.

Sponsored links

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.