Organization
LUMINARY EYE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JINEN SHAH OD (OWNER)
(334) 714-4368
Entity
Organization
Contact information
Practice address
1100 JOHNSON FERRY RD STE 120, MARIETTA, GA 30068-2700
(334) 714-4368
Mailing address
705 TOWN BLVD NE APT 307, BROOKHAVEN, GA 30319-3066
(334) 714-4368
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
12/19/2019
Last updated
05/15/2020
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