Organization
LITHONIA FAMILY EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRE TERRELL LENOIR (OWNER)
(901) 219-3989
Entity
Organization
Contact information
Practice address
5401 FAIRINGTON RD, LITHONIA, GA 30038-5113
(770) 808-2772
(770) 808-2787
Mailing address
5401 FAIRINGTON RD, LITHONIA, GA 30038-5113
(770) 961-2020
(770) 808-2787
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002176
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
691118107A
—
GA
Enumeration date
08/09/2007
Last updated
09/09/2016
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