| |
2735 Highway 54, Peachtree City, GA 30269-1031 | |
(561) 275-2020 | |
(561) 828-8367 |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 2735 Highway 54, Peachtree City, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508531096 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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1943 Pleasant Hill Rd, Duluth, GA 30096-4625 Ph: () - | 2735 Highway 54, Peachtree City, GA 30269-1031 Ph: (561) 275-2020 |