| |
3264 Buford Dr, Suite100a, Buford, GA 30519-8764 | |
(678) 730-2363 | |
(678) 730-2367 |
Full Name | |
---|---|
Type | Facility |
Speciality | Technician/technologist - Optician |
Location | 3264 Buford Dr, Buford, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265737274 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
156FX1800X | Technician/technologist - Optician | 001964 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
3264 Buford Dr, Suite100a, Buford, GA 30519-8764 Ph: (678) 730-2363 | 3264 Buford Dr, Suite100a, Buford, GA 30519-8764 Ph: (678) 730-2363 |