Organization
SURESIGHT AND ASSOCIATES L L C
Active
Other names
SURESIGHT EYECARE CANTON
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JACKSON WAYLAND SR. O.D. (PRESIDENT)
(770) 345-5220
Entity
Organization
Contact information
Practice address
217 RIVERSTONE DR, CANTON, GA 30114-5256
(770) 345-5220
(770) 479-5011
Mailing address
217 RIVERSTONE DR, CANTON, GA 30114-5256
(770) 345-5220
(770) 479-5011
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT0001624
GA
261QS0132X
Ophthalmologic Surgery Clinic/Center
GA1769
GA
Other
Enumeration date
02/14/2008
Last updated
04/02/2009
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