Organization
MAYA FAMILY INC
Active
Other names
Eyedeology Vision Center and Optique
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMA GUPTA OD, MPH (OPTOMETRIST/OWNER)
(404) 853-5008
Entity
Organization
Contact information
Practice address
860 PEACHTREE ST NE, SUITE F, ATLANTA, GA 30308-1249
(404) 853-5008
(404) 853-5009
Mailing address
860 PEACHTREE ST NE, SUITE F, ATLANTA, GA 30308-1249
(404) 853-5008
(404) 853-5009
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002472
GA
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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