B3 Optical LLC
Optometrist in Stockbridge, GA. Organization (NPI-2).
NPI number1679953293
StatusActive
Last updated in NPPESJun 9, 2015
Details
- NPI
- 1679953293
- Entity type
- Organization (NPI-2)
- Legal business name
- B3 Optical LLC
- Organization subpart
- No
- Enumeration date
- Jun 9, 2015
- Last updated
- Jun 9, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
550 Eales Landing ParkwaySuite 208
Stockbridge, GA 30281-9082
Phone 770-474-1237 · Fax 770-474-5224
Mailing address
128 N Park DrFayetteville, GA 30214-1645
Phone 770-474-1237 · Fax 770-474-5224
Authorized official
Laura C Depoe
Owner
7704741237
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