Organization
K D M VISION CENTER INC
Active
Other names
PEARLE VISION
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRK D MALERBI LDO (OWNERPRESIDENT)
(706) 226-2722
Entity
Organization
Contact information
Practice address
2150 E WALNUT AVE, STE 10, DALTON, GA 30721-4500
(706) 226-2722
(706) 275-6114
Mailing address
4413 ARBOR TRL, COHUTTA, GA 30710-9323
(706) 694-2020
(206) 275-6114
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1838
GA
156FX1800X
Optician
Primary
GA1605
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GA1605
LISCENSED DISPENSING OPTI
GA
Enumeration date
03/19/2007
Last updated
10/09/2013
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