Organization
WOODSTOCK VISION CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT M BLUM O.D. (OWNER)
(678) 457-0843
Entity
Organization
Contact information
Practice address
9801 HIGHWAY 92, SUITE 100, WOODSTOCK, GA 30188-6453
(770) 592-7400
Mailing address
9801 HIGHWAY 92, SUITE 100, WOODSTOCK, GA 30188-6453
(770) 592-7400
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1072
GA
Other
Enumeration date
01/22/2009
Last updated
01/22/2009
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