Town Center Vision Care, LLC
Optometrist in Kennesaw, GA. Organization (NPI-2).
NPI number1669929634
StatusActive
Last updated in NPPESDec 22, 2022
Details
- NPI
- 1669929634
- Entity type
- Organization (NPI-2)
- Legal business name
- Town Center Vision Care, LLC
- Organization subpart
- No
- Enumeration date
- Sep 7, 2016
- Certification date
- Dec 22, 2022
- Last updated
- Dec 22, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Other names
- Atlanta Eye Group - Town Center (Doing Business As)
Practice location
400 Ernest W Barrett Pkwy Nw Ste 617Kennesaw, GA 30144-4997
Phone 770-727-0772 · Fax 770-766-1117
Mailing address
200 Ashford Ctr N Ste 305Atlanta, GA 30338-2682
Phone 770-727-0772 · Fax 770-766-1117
Authorized official
Anisha Haji
Cmo, Owner
4707256171
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