Organization
ATLANTA EYE SHOP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUCHONG SMITH OD (OWNER)
(678) 310-0166
Entity
Organization
Contact information
Practice address
3621 VININGS SLOPE SE, SUITE 4190, ATLANTA, GA 30339-4107
(678) 310-0166
(678) 310-0168
Mailing address
3621 VININGS SLOPE SE, SUITE 4190, ATLANTA, GA 30339-4107
(678) 310-0166
(678) 310-0168
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT001650GA
GA
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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