Organization
MARIETTA EYE OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIA MCENTIRE (OPTICAL DIRECTOR)
(678) 784-0242
Entity
Organization
Contact information
Practice address
4450 CALIBRE CROSSING, NW., SUITE 1104, ACWORTH, GA 30101-4108
(678) 279-1141
(678) 279-1147
Mailing address
895 CANTON RD NE, BLDG 100, MARIETTA, GA 30060-8934
(770) 427-8111
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/18/2009
Last updated
04/03/2018
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