Organization
DIGITAL VISION OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH THOMPSON MD (MD., OWNER, AUTHORIZED OFFICIAL)
(678) 335-6130
Entity
Organization
Contact information
Practice address
5582 MEMORIAL DR STE 201, STONE MOUNTAIN, GA 30083-3215
(678) 335-6130
(678) 335-6336
Mailing address
5582 MEMORIAL DR STE 201, STONE MOUNTAIN, GA 30083-3215
(678) 335-6130
(678) 335-6336
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
207W00000X
Ophthalmology Physician
—
—
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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