Organization
PEDIATRIC VISION DEVELOPMENT CENTER OF GWINNETT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH ROUW OD (OWNER)
(678) 448-2854
Entity
Organization
Contact information
Practice address
2055 HAMILTON CREEK PKWY, STE 120, DACULA, GA 30019-7204
(770) 904-0979
Mailing address
2055 HAMILTON CREEK PKWY, STE 120, DACULA, GA 30019-7204
(770) 904-0979
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
2355
GA
Other
Enumeration date
07/30/2014
Last updated
08/22/2016
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