Organization
BETHEL EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSIE CHA O.D. (MEMBER)
(770) 817-3990
Entity
Organization
Contact information
Practice address
2148 DULUTH HWY STE 102, DULUTH, GA 30097-4504
(770) 817-3990
(770) 817-3991
Mailing address
2148 DULUTH HWY STE 102, DULUTH, GA 30097-4504
(770) 817-3990
(770) 817-3991
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2370
GA
Other
Enumeration date
02/23/2011
Last updated
02/23/2011
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