Organization
SUPERIOR EYECARE OF GRIFFIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALIQUE PAYNE O.D. (OWNER/ OPTOMETRIST)
(917) 250-4468
Entity
Organization
Contact information
Practice address
1569 N EXPRESSWAY, GRIFFIN, GA 30223-1746
(770) 233-6860
Mailing address
1569 N EXPRESSWAY, GRIFFIN, GA 30223-1746
(770) 233-6860
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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