Organization
OPTI-PEARL VISION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NHATHY PHAM OD (OWNER/MANAGER)
(407) 929-5433
Entity
Organization
Contact information
Practice address
5080 RIVERSIDE DR STE 400, MACON, GA 31210-1172
(478) 474-3330
(478) 474-3722
Mailing address
PO BOX 7647, MACON, GA 31209-7647
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
003061
GA
Other
Enumeration date
02/01/2018
Last updated
02/01/2018
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