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Organization

EAGLE VIEW EYE CARE, LLC

Active
Other names
Lanier Eye Care, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DEREK ALAN BLACK OD (OWNER/MEMBER)
(404) 697-2850
Entity
Organization

Contact information

Practice address
4008 MUNDY MILL RD, OAKWOOD, GA 30566-2807
(706) 576-7238
(706) 640-3877
Mailing address
4008 MUNDY MILL RD, OAKWOOD, GA 30566-2807
(706) 576-7283
(706) 640-3877

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
04/03/2020
Last updated
10/07/2021
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