Organization
PEACHTREE CORNERS EYE CLINIC
Active
Parent organization
PEACHTREE CORNERS EYE CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEACHTREE CORNERS EYE CLINIC
Authorized official
RICHARD J SHUSTER O.D. (OWNER)
(770) 441-1211
Entity
Organization
Contact information
Practice address
4045 WETHERBURN WAY, SUITE, NORCROSS, GA 30092-4661
(770) 441-1211
(770) 448-9141
Mailing address
4045 WETHERBURN WAY, SUITE 1, NORCROSS, GA 30092-4661
(770) 441-1211
(770) 448-9141
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
001461T
GA
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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