Organization
OPTIMIST LLC
Active
Parent organization
MAPEYES LLC
Other names
Classic Vision Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAPEYES LLC
Authorized official
MITAL PATEL OD (OWNER)
(678) 560-8065
Entity
Organization
Contact information
Practice address
1615 RIDENOUR BLVD NW, #201, KENNESAW, GA 30152-4463
(770) 499-2020
Mailing address
1615 RIDENOUR BLVD NW, #201, KENNESAW, GA 30152-4463
(770) 499-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
GA
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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