Organization
STEPHENS EYE ASSOCIATES 401 K PLAN
Active
Parent organization
STEPHENS EYE ASSOCIATES
Other names
Stehens Eye Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
STEPHENS EYE ASSOCIATES
Authorized official
HARRITTIA WILFORD (MANAGER)
(404) 582-0096
Entity
Organization
Contact information
Practice address
285 BOULEVARD, SUITE 540, ATLANTA, GA 30312-4214
(404) 582-0096
Mailing address
285 BOULEVARD, SUITE 540, ATLANTA, GA 30312-4214
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
GA041970
GA
332H00000X
Eyewear Supplier
GA041970
GA
Other
Enumeration date
03/15/2011
Last updated
06/27/2011
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