Organization
HAPPY EYES LLC
Active
Other names
Happy Eyes
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL GAMBA OD (OWNER)
(770) 361-9481
Entity
Organization
Contact information
Practice address
112A RIVERSTONE PKWY, CANTON, GA 30114-2448
(770) 874-2020
Mailing address
PO BOX 4398, CANTON, GA 30114-0017
(770) 874-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WP0200X
Pediatric Optometrist
—
—
Other
Enumeration date
09/02/2020
Last updated
11/19/2020
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