Organization
ORDER MEDICAID GLASSES ONLINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA MCCASKILL (PROVIDER)
(678) 663-3015
Entity
Organization
Contact information
Practice address
1890 BROWNING BEND CT, DACULA, GA 30019-7771
(678) 663-3015
Mailing address
470 DACULA RD UNIT 879, DACULA, GA 30019-0108
(678) 663-3015
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
09/28/2022
Last updated
10/07/2022
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