20-20 Optical, INC.
Technician/Technologist, Optician in Mcdonough, GA. Organization (NPI-2).
NPI number1952422198
StatusActive
Last updated in NPPESJan 23, 2017
Details
- NPI
- 1952422198
- Entity type
- Organization (NPI-2)
- Legal business name
- 20-20 Optical, INC.
- Organization subpart
- No
- Enumeration date
- Apr 3, 2007
- Last updated
- Jan 23, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | 740 | GA | Yes |
| 152W00000X | Optometrist | 1758 | GA |
Other names
- 20/20 Vision Center (Doing Business As)
Practice location
2025 Jonesboro RdMcdonough, GA 30253
Phone 678-432-1800 · Fax 678-432-4500
Mailing address
2025 Jonesboro RdMcdonough, GA 30253
Phone 678-432-1800 · Fax 678-432-4500
Authorized official
Richard L. Lyle
President
6784321800
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