Organization
TONGE VISION GROUP, P.C.
Active
Other names
Tonge Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK STEPHENS TONGE JR. O.D. (OPTOMETRIST)
(770) 963-2903
Entity
Organization
Contact information
Practice address
170 CAMDEN HILL RD STE B, LAWRENCEVILLE, GA 30046-7418
(770) 963-2903
(770) 963-8387
Mailing address
170 CAMDEN HILL RD STE B, LAWRENCEVILLE, GA 30046-7418
(770) 963-2903
(770) 963-8387
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT000725
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00004815A
—
GA
Enumeration date
11/30/2006
Last updated
06/21/2018
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