Organization
BROOKHAVEN VISION CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNA MIRANDA OD (OWNER OD)
(704) 728-7588
Entity
Organization
Contact information
Practice address
500 BROOKHAVEN AVE NE, BROOKHAVEN, GA 30319-3291
(704) 728-7588
Mailing address
5265 WHITEHAVEN PARK LN SE, MABLETON, GA 30126-5938
(704) 728-7588
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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