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Organization

EKHOS OPTICAL INC

Active
Other names
Brookwood Eyecare
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH IMAFIDON OPT (OFFICE MANAGER)
(770) 736-7774
Entity
Organization

Contact information

Practice address
2948 FIVE FORKS TRICKUM RD, SUITE C, LAWRENCEVILLE, GA 30044-5872
(770) 736-7774
Mailing address
2948 FIVE FORKS TRICKUM RD, SUITE C, LAWRENCEVILLE, GA 30044-5872
(770) 736-7774

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
GA0832
GA
156FX1800X
Optician
Primary

Other

Enumeration date
03/30/2007
Last updated
09/11/2025
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