Organization
RICHARD C LIPOVAC OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD CHARLES LIPOVAC (PRINCIPAL OFFICER)
(404) 668-2290
Entity
Organization
Contact information
Practice address
2717 HIGHWAY 54, PEACHTREE CITY, GA 30269-1031
(770) 632-6422
(770) 632-6413
Mailing address
2717 HIGHWAY 54, PEACHTREE CITY, GA 30269-1031
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1449T
GA
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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