Organization
MYEYEDR OPTOMETRY OF GEORGIA, LLC
Active
Other names
MyEyeDr.
Organization subpart
No
Provider details
NPI number
Authorized official
SUE HEALEY (SECRETARY)
(703) 847-8899
Entity
Organization
Contact information
Practice address
503 FURYS FERRY RD, MARTINEZ, GA 30907-9059
(706) 860-8899
(706) 863-7822
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00621343D
—
GA
05
—
GPA752
—
SC
Enumeration date
11/28/2005
Last updated
05/26/2022
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