Organization
MARIETTA VISION
Active
Parent organization
MARIETTA CONTACTS LENS SERVICE
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARIETTA CONTACTS LENS SERVICE
Authorized official
JOHN MARK PATTERSON LOD (PRESIDENT)
(770) 792-0208
Entity
Organization
Contact information
Practice address
397 N SESSIONS ST NW, MARIETTA, GA 30060-1325
(770) 792-0208
Mailing address
397 N SESSIONS ST NW, MARIETTA, GA 30060-1325
(770) 792-0208
Taxonomy
Speciality
Code
Description
License number
State
156FC0801X
Contact Lens Fitter
Primary
000867
GA
Other
Enumeration date
10/08/2009
Last updated
10/08/2009
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