Organization
BOLT EYE GROUP - LAWRENCEVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBRA WILLIAMS (COO)
(770) 776-9000
Entity
Organization
Contact information
Practice address
575 PROFESSIONAL DR, LAWRENCEVILLE, GA 30046-3333
(678) 993-2020
Mailing address
575 PROFESSIONAL DR, LAWRENCEVILLE, GA 30046-3333
(678) 993-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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