Organization
JOSEPH OPTICAL
Active
Other names
Pearle Vision
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH BACHMANN L.D.O. (OWNER)
(770) 479-0500
Entity
Organization
Contact information
Practice address
1455 RIVERSTONE PKWY SUITE 110, CANTON, GA 30114
(770) 479-0500
(770) 720-0104
Mailing address
1455 RIVERSTONE PKWY SUITE 110, CANTON, GA 30114
(770) 479-0500
(770) 720-0104
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
LDO001279
GA
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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