Organization
HIGHLAND EYE BOUTIQUE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIE BENNETT OD (MANAGER)
(404) 343-0887
Entity
Organization
Contact information
Practice address
1056 N HIGHLAND AVE NE, ATLANTA, GA 30306-3551
(404) 343-0887
(404) 343-2024
Mailing address
1056 N HIGHLAND AVE NE, ATLANTA, GA 30306-3551
(404) 343-0887
(404) 343-2024
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002410
GA
Other
Enumeration date
04/01/2010
Last updated
05/04/2016
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