Organization
FASHION OPTICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY GRAHAM L.D.O (SENIOR OPTICIAN)
(404) 691-6222
Entity
Organization
Contact information
Practice address
3024 MARTIN LUTHER KING JR DR SW, SUITE B, ATLANTA, GA 30311-1515
(404) 691-6222
(404) 691-9988
Mailing address
3024 MARTIN LUTHER KING JR DR SW, SUITE B, ATLANTA, GA 30311-1515
(404) 691-6222
(404) 691-9988
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
LDO001037
GA
Other
Enumeration date
04/13/2007
Last updated
08/22/2020
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