Organization
LAKE LANIER EYE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT BORDNER OD (OWNER)
(662) 910-0735
Entity
Organization
Contact information
Practice address
5885 CUMMING HWY STE 401-402, SUGAR HILL, GA 30518-5765
(678) 926-3525
Mailing address
205 HIGHLAND GATE CIR, SUWANEE, GA 30024-1795
(662) 910-0735
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002752
GA
Other
Enumeration date
10/28/2014
Last updated
06/03/2021
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