Victory Eyecare Llc

NPI 1164695045 - Optometrist - 152W00000X

NPI Details
NPI 1164695045
Enumeration Date 04/11/2008
Last Updated 04/11/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name KUNLE EMMANUEL KUNLE
Position MANAGING PARTNER
Phone (678) 482-1324
Fax
Practice Location
1342 AUBURN RD
DACULA GA, 30019-1140, US
Phone (678) 482-1324
Fax
Business Location
3592 HUDDLESTONE LN
BUFORD GA, 30519-4652, US
Phone (678) 482-1324
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Georgia
License Number OPT002345
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According to our database, Victory Eyecare Llc NPI is 1164695045, taxonomy code is 152W00000X and license number is OPT002345, license state is located at Georgia. Victory Eyecare Llc physically located at 1342 Auburn Rd, Dacula GA, 30019-1140. NPI Number 1033115704 has the healthcare provider type.

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1164695045 NPI number is provided on an as is basis without warranty of any kind. 1164695045 is maintained by the National Plan & Provider Enumeration System. The contents of Victory Eyecare Llc are for informational purposes only.