Organization
JOHNS CREEK EYE CARE LLC
Active
Other names
Justice Vision Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUPESH BHAKTA OD (OPTOMETRIST)
(314) 435-6584
Entity
Organization
Contact information
Practice address
10360 MEDLOCK BRIDGE RD, DULUTH, GA 30097-5927
(770) 476-1220
Mailing address
7625 STAMP MILL CT, JOHNS CREEK, GA 30097-2406
(314) 435-6584
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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