Organization
THE EYEDEAL SITE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRESTON SMITH OD (OWNER)
(309) 830-4590
Entity
Organization
Contact information
Practice address
600 CARROLLTON VILLA RICA HWY, VILLA RICA, GA 30180-4969
(770) 459-8733
(770) 459-8673
Mailing address
214 NELLIE TRCE SE, MABLETON, GA 30126-4451
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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