Organization
INDEPENDENCE OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY THOMAS TURLEY L.D.O (VICE PRESIDENT)
(770) 506-8845
Entity
Organization
Contact information
Practice address
3230 HIGHWAY 42 STE E, STOCKBRIDGE, GA 30281-4667
(770) 506-8845
(770) 506-8846
Mailing address
3230 HIGHWAY 42 STE E, STOCKBRIDGE, GA 30281-4667
(770) 506-8845
(770) 506-8846
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
2223
GA
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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