Organization
EYE SITE OF DULUTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAY RUPURED JR. (CFO)
(770) 476-3611
Entity
Organization
Contact information
Practice address
3085 BUFORD HWY, DULUTH, GA 30096-3353
(770) 476-3611
(770) 476-1921
Mailing address
3085 BUFORD HWY, DULUTH, GA 30096-3353
(770) 476-3611
(770) 476-1921
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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