Organization
NEWNAN EYE CARE LLC
Active
Other names
I C OPTIQUE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHY SAMUELS OD (OWNER)
(404) 861-7253
Entity
Organization
Contact information
Practice address
1201 N PEACHTREE PKWY, PEACHTREE CITY, GA 30269-1743
(404) 861-7253
Mailing address
1201 N PEACHTREE PKWY, PEACHTREE CITY, GA 30269-1743
(404) 861-7253
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
GA1408
GA
Other
Enumeration date
08/04/2012
Last updated
11/21/2012
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