Organization
FASHION OPTIQUE EYEWEAR, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUNE MARTIN GRAHAM LDO (OPTICIAN)
(404) 244-8377
Entity
Organization
Contact information
Practice address
2851 CANDLER RD, SUITE 100, DECATUR, GA 30034-1412
(404) 244-8377
(404) 244-0908
Mailing address
2851 CANDLER RD, SUITE 100, DECATUR, GA 30034-1412
(404) 244-8377
(404) 244-0908
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO002123
GA
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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