Eminence Family Eyecare, LLC
Optometrist in Alpharetta, GA. Organization (NPI-2).
NPI number1023463528
StatusActive
Last updated in NPPESMay 3, 2016
Details
- NPI
- 1023463528
- Entity type
- Organization (NPI-2)
- Legal business name
- Eminence Family Eyecare, LLC
- Organization subpart
- No
- Enumeration date
- May 3, 2016
- Last updated
- May 3, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | Opt002814 | GA | Yes |
| 152WC0802X | Optometrist, Corneal and Contact Management | Opt002814 | GA | |
| 152WP0200X | Optometrist, Pediatrics | Opt002814 | GA | |
| 152WV0400X | Optometrist, Vision Therapy | Opt002814 | GA |
Practice location
6300 Atlanta Hwy # 9Suite 101a
Alpharetta, GA 30004-7821
Phone 678-825-4077
Mailing address
6300 Atlanta Hwy # 9Suite 101a
Alpharetta, GA 30004-7821
Phone 678-825-4077
Authorized official
Stella Onyekwelu
Doctor Of Optometry
6788254077
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