Organization
BULANSEO OPTICAL,INC
Active
Other names
Paris Optical
Organization subpart
No
Provider details
NPI number
Authorized official
AMI JENIEL PARMAR O.D (AUTHORIZED OFFICIAL)
(770) 559-4004
Entity
Organization
Contact information
Practice address
6035 PEACHTREE RD, SUITE T10, DORAVILLE, GA 30360-3230
(770) 559-4004
(770) 559-4228
Mailing address
6035 PEACHTREE RD, SUITE T10, DORAVILLE, GA 30360-3230
(770) 559-4004
(770) 559-4228
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
OPT002546
GA
Other
Enumeration date
06/14/2007
Last updated
03/09/2010
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