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Organization

QUALITY EYECARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARL JOHNSEY JR. O.D. (PRESIDENT)
(678) 847-5331
Entity
Organization

Contact information

Practice address
5900 SUGARLOAF PKWY, SUITE 513, LAWRENCEVILLE, GA 30043-7857
(678) 847-5331
(678) 847-5333
Mailing address
5900 SUGARLOAF PKWY, SUITE 513, LAWRENCEVILLE, GA 30043-7857
(678) 847-5331
(678) 847-5333

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT001445
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003129516A
GA
Enumeration date
09/22/2011
Last updated
01/24/2013
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