Organization
JOSEPH OPTICAL
Active
Other names
Pearle Vision
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH BACHMANN L.D.O. (OWNER)
(770) 479-0500
Entity
Organization
Contact information
Practice address
1455 RIVERSTONE PKWY, SUITE 110, CANTON, GA 30114-5627
(770) 479-0500
(770) 720-0104
Mailing address
1455 RIVERSTONE PKWY, SUITE 110, CANTON, GA 30114-5627
(770) 479-0500
(770) 720-0104
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO001270
GA
Other
Enumeration date
12/17/2009
Last updated
12/17/2009
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