Organization
NANSTON VISION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK BYNUM (OWNER)
(678) 836-2428
Entity
Organization
Contact information
Practice address
2220 WISTERIA DR, STE. 101, SNELLVILLE, GA 30078-4606
(678) 836-2428
Mailing address
2220 WISTERIA DR, STE. 101, SNELLVILLE, GA 30078-4606
(678) 836-2428
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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