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Atlanta Vision Optical

Optometrist in Atlanta, GA. Organization (NPI-2).

NPI number1760614259
StatusActive
Last updated in NPPESJan 27, 2010

Details

NPI
1760614259
Entity type
Organization (NPI-2)
Legal business name
Atlanta Vision Optical
Organization subpart
No
Enumeration date
Aug 17, 2009
Last updated
Jan 27, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist––Yes
332H00000X Eyewear Supplier (Equipment, not the service)––

Practice location

1215 Caroline St Ne
Suite H-100
Atlanta, GA 30307-2775

Phone 404-522-8886 · Fax 404-522-8887

Mailing address

1215 Caroline St Ne
Suite H-100
Atlanta, GA 30307-2775

Phone 404-522-8886 · Fax 404-522-8887

Authorized official

Ghazal Tabrizipour
Owner
4045228886

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