Elevated Eye Care INC
Optometrist in Mcdonough, GA. Organization (NPI-2).
NPI number1730332370
StatusActive
Last updated in NPPESJun 14, 2022
Details
- NPI
- 1730332370
- Entity type
- Organization (NPI-2)
- Legal business name
- Elevated Eye Care INC
- Organization subpart
- No
- Enumeration date
- Oct 28, 2008
- Certification date
- Jun 14, 2022
- Last updated
- Jun 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
| 261Q00000X | Clinic/Center | 1761 | GA |
Practice location
917 Jonesboro Rd Ste AMcdonough, GA 30253-6031
Phone 770-914-3399 · Fax 770-914-3334
Mailing address
917 Jonesboro Rd Ste AMcdonough, GA 30253-6031
Phone 770-914-3399 · Fax 770-914-3334
Authorized official
Santrell Hart-Moreland
President
7709143399
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