Organization
ENVISION EYECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RATIDZO BONNIE MACHARAGA O.D (OWNER/OPTOMETRIST)
(404) 290-3700
Entity
Organization
Contact information
Practice address
1100 THORNTON RD, LITHIA SPRINGS, GA 30122-2616
(770) 819-4981
Mailing address
541 10TH ST NW # 285, ATLANTA, GA 30318-5713
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002829
GA
Other
Enumeration date
02/03/2015
Last updated
11/16/2023
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