Organization
THE EYES HAVE IT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LACHIONTE CULPEPPER D.O. (OWNER/OPTOMETRIST)
(678) 572-5705
Entity
Organization
Contact information
Practice address
6525 TARA BLVD, SUITE 134, JONESBORO, GA 30236-1227
(678) 369-8676
(678) 369-8676
Mailing address
5174 HICKORY CIR, ELLENWOOD, GA 30294-3689
(678) 369-8676
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002500
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003107177A
—
GA
Enumeration date
08/26/2011
Last updated
08/26/2011
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