Organization
PREMIER GERIATRIC EYECARE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL E RICHARDS O.D. (CEO)
(770) 577-9748
Entity
Organization
Contact information
Practice address
7147 AVALON DR, DOUGLASVILLE, GA 30135-5626
(770) 577-9748
(770) 577-9748
Mailing address
7147 AVALON DR, DOUGLASVILLE, GA 30135-5626
(770) 577-9748
(770) 577-9748
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT001088
GA
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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