Organization
VICTORY EYECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KUNLE EMMANUEL OLUWADARE M.S., O.D. (MANAGING PARTNER)
(678) 482-1324
Entity
Organization
Contact information
Practice address
1342 AUBURN RD, DACULA, GA 30019-1140
(678) 482-1324
Mailing address
3592 HUDDLESTONE LN, BUFORD, GA 30519-4652
(678) 482-1324
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002345
GA
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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