Woodstock Eyesite INC
Optometrist in Woodstock, GA. Organization (NPI-2).
NPI number1346880903
StatusActive
Last updated in NPPESJan 13, 2020
Details
- NPI
- 1346880903
- Entity type
- Organization (NPI-2)
- Legal business name
- Woodstock Eyesite INC
- Organization subpart
- Yes
- Enumeration date
- Jan 13, 2020
- Certification date
- Jan 13, 2020
- Last updated
- Jan 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Other names
- Pearle Vision (Doing Business As)
Practice location
2360 Towne Lake Pkwy Ste 104Woodstock, GA 30189-5576
Phone 770-479-0123 · Fax 770-720-0104
Mailing address
1455 Riverstone Pkwy Ste 110Canton, GA 30114-5627
Phone 770-479-0123 · Fax 770-720-0104
Authorized official
Jessica E Nadeau
Insurance Specialist
7704790123
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All 34 Optometrist providers in Woodstock · All 2,093 providers in Woodstock
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