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Organization
BLUEGRASS EYEWEAR DBA PEACHY EYEWEAR
Active
Organization
BLUEGRASS EYEWEAR DBA PEACHY EYEWEAR
Active
Parent organization
BLUEGRASS EYEWEAR
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLUEGRASS EYEWEAR
Authorized official
MRS. KATHLEEN K HOOVER (CEO/OWNER)
(404) 663-9317
Entity
Organization
Contact information
Practice address
1525 BLUEGRASS LAKES PKWY, ALPHARETTA, GA 30004-7713
(800) 220-6896
Mailing address
1525 BLUEGRASS LAKES PKWY, ALPHARETTA, GA 30004-7713
(404) 663-9317
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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