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Organization

THE EYECARE STUDIO, LLC

Active
Other names
CURTISS ANDERSON & KEITH F FISHE PTR EYECARE STUDIO, CURTISS ANDERSON & KEITH F FISHE
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEITH FISHE OD (PARTNER)
(770) 987-3937
Entity
Organization

Contact information

Practice address
2375 WESLEY CHAPEL RD, SUITE 6, DECATUR, GA 30035
(770) 987-3937
(770) 987-3917
Mailing address
2375 WESLEY CHAPEL RD, SUITE 6, DECATUR, GA 30035-2803
(770) 987-3937
(770) 987-3917

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000548844B
GA
Enumeration date
05/11/2017
Last updated
09/02/2018
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