Organization
HIRAM 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
4795 JIMMY LEE SMITH PKWY, BLDG 100 SUITE 100, HIRAM, GA 30141-2792
(770) 222-6362
Mailing address
4795 JIMMY LEE SMITH PKWY, BLDG 100 SUITE 100, HIRAM, GA 30141-2792
(770) 222-6362
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1072
GA
Other
Enumeration date
01/28/2009
Last updated
01/28/2009
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