Organization
JOHN C.VENCILL O.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C VENCILL O.D. (PRESIDENT)
(678) 485-8906
Entity
Organization
Contact information
Practice address
1400 HUDSON BRIDGE RD, STOCKBRIDGE, GA 30281-5018
(678) 485-8906
(770) 474-0698
Mailing address
2933 SUMMIT DR, JONESBORO, GA 30236-6252
(678) 485-8906
(770) 222-6691
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/24/2008
Last updated
04/16/2021
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