Organization
GEORGIA EYE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC KENNETH LAY OD (OWNER)
(770) 630-4625
Entity
Organization
Contact information
Practice address
2522 RIPPLE WAY, LAWRENCEVILLE, GA 30043-3424
(770) 630-4625
Mailing address
2522 RIPPLE WAY, LAWRENCEVILLE, GA 30043-3424
(770) 630-4625
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002739
GA
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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