Organization
MAP EYES LLC
Active
Other names
Eyes On Providence
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITAL PATEL O.D. (OWNER)
(678) 560-8065
Entity
Organization
Contact information
Practice address
3535 ROSWELL RD, SUITE 8, MARIETTA, GA 30062-8826
(678) 560-8065
Mailing address
3535 ROSWELL RD, SUITE 8, MARIETTA, GA 30062-8826
(678) 560-8065
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/15/2012
Last updated
03/07/2012
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