Organization
BELLA VISTA FAMILY EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA MILLS O.D. (OWNER/OPTOMETRIST)
(770) 819-4981
Entity
Organization
Contact information
Practice address
1100 THORNTON RD, LITHIA SPRINGS, GA 30122-2616
(770) 819-4981
(770) 819-9039
Mailing address
3142 BRIANS CREEK DR SE, CONYERS, GA 30013-6437
(770) 819-4981
(770) 819-9039
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPC4189
FL
152W00000X
Optometrist
Primary
OPT002269
GA
Other
Enumeration date
10/27/2009
Last updated
10/27/2009
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