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Organization

OPTIQUE AT WEST PACES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID GROSSWALD OD (OWNER)
(404) 844-1500
Entity
Organization

Contact information

Practice address
1244 W PACES FERRY RD NW, ATLANTA, GA 30327-2306
(404) 844-1500
(404) 844-2700
Mailing address
1244 W PACES FERRY RD NW, ATLANTA, GA 30327-2306
(404) 844-1500
(404) 844-2700

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1768
GA

Other

Enumeration date
10/29/2007
Last updated
12/30/2025
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