Total Vision Suwanee Llc

NPI 1255739637 - Optometrist - 152W00000X

NPI Details
NPI 1255739637
Enumeration Date 12/16/2014
Last Updated 03/30/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name PAULA LYNN PAULA
Position MEMBER
Phone (770) 271-0611
Fax (770) 271-5525
Practice Location
1000 PEACHTREE INDUSTRIAL BLVD
#14
SUWANEE GA, 30024-6737, US
Phone (770) 271-0611
Fax (770) 271-5525
Business Location
1000 PEACHTREE INDUSTRIAL BLVD
#14
SUWANEE GA, 30024-6737, US
Phone (770) 271-0611
Fax (770) 271-5525
Toxanomy
Taxonomy Code 152W00000X
License State Georgia
License Number OPT001130
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According to our database, Total Vision Suwanee Llc NPI is 1255739637, taxonomy code is 152W00000X and license number is OPT001130, license state is located at Georgia. Total Vision Suwanee Llc physically located at 1000 Peachtree Industrial Blvd, Suwanee GA, 30024-6737. NPI Number 1033115704 has the healthcare provider type.

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1255739637 NPI number is provided on an as is basis without warranty of any kind. 1255739637 is maintained by the National Plan & Provider Enumeration System. The contents of Total Vision Suwanee Llc are for informational purposes only.