The Eyecare Place LLC
Optometrist in Mcdonough, GA. Organization (NPI-2).
NPI number1861871725
StatusActive
Last updated in NPPESMay 26, 2015
Details
- NPI
- 1861871725
- Entity type
- Organization (NPI-2)
- Legal business name
- The Eyecare Place LLC
- Organization subpart
- No
- Enumeration date
- May 26, 2015
- Last updated
- May 26, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OPT001522 | GA | Yes |
| 156FX1800X | Technician/Technologist, Optician | LDO002144 | GA |
Practice location
42 Old Jackson RdMcdonough, GA 30252-3029
Phone 678-782-7952 · Fax 678-782-7954
Mailing address
42 Old Jackson RdMcdonough, GA 30252-3029
Phone 678-782-7952 · Fax 678-782-7954
Authorized official
Chhaya Sei
Ceo/Manager
6787827952
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