Organization
DALTON FAMILY EYECARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALVIN D DALTON (OWNER)
(706) 219-4444
Entity
Organization
Contact information
Practice address
1801 HIGHWAY 129 S, CLEVELAND, GA 30528-7180
(706) 219-4444
Mailing address
1801 HIGHWAY 129 S, CLEVELAND, GA 30528-7180
(706) 219-4444
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
348259969A
—
GA
05
—
621628466A
—
GA
Enumeration date
05/01/2007
Last updated
04/25/2024
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