Organization
CUMMING OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD E PARE MD (OWNER)
(770) 475-0123
Entity
Organization
Contact information
Practice address
990 SANDERS RD STE 200, CUMMING, GA 30041-5960
(770) 205-4100
Mailing address
990 SANDERS RD STE 200, CUMMING, GA 30041-5960
(770) 205-4100
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
20012160158
GA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34918
MEDICAL LICENSE
GA
Enumeration date
07/23/2006
Last updated
06/03/2020
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