Organization
NORTHEAST GEORGIA VISION CARE LLC
Active
Other names
King Vision Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOLTON S KING JR. OD (PRESIDENT)
(706) 776-2020
Entity
Organization
Contact information
Practice address
118 VISION DR, CORNELIA, GA 30531-5737
(706) 776-6311
(706) 776-7243
Mailing address
118 VISION DR, CORNELIA, GA 30531-5737
(706) 776-6311
(706) 776-7243
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1106
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00515545B
—
GA
Enumeration date
09/30/2005
Last updated
09/25/2023
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