NPI Provider: 1508089277
Contact Name: CARLIN RICHARD
Position: OWNER
Phone: (770) 979-2020
Optical Boutique Information:
Optical Boutique organization have npi 1508089277, taxonomy code is 332H00000X with license number is in . This Business address located in 2347 Lenora Church Rd, Snellville, GA 30078 Georgia.
Practice Location
Address: 2347 Lenora Church Rd, Snellville, GA 30078
Phone: (770) 979-2020
Business Location
Address: 2347 Lenora Church Rd, Snellville, GA 30078
Phone: (770) 979-2020
Taxonomy
Taxonomy Code: 332H00000X
License Number:
License Number of State:
Primary Taxonomy Switch: Y
Enumeration Date: 4/11/2007
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