Organization
GRACE ENVISION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAIYING CHENG O.D. (OWNER)
(404) 293-5990
Entity
Organization
Contact information
Practice address
10475 MEDLOCK BRIDGE RD STE 104, JOHNS CREEK, GA 30097-4434
(404) 293-5990
Mailing address
1212 RISING MOON TRL, SNELLVILLE, GA 30078-7395
(404) 293-5990
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/25/2022
Last updated
07/06/2023
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