Organization
MYEYEDR OPTOMETRY OF GEORGIA, LLC
Active
Other names
MyEyeDr
Organization subpart
No
Provider details
NPI number
Authorized official
SUE HEALEY (SECRETARY)
(703) 847-8899
Entity
Organization
Contact information
Practice address
1415 WOOTEN LAKE RD NW STE 100, KENNESAW, GA 30144-1342
(770) 424-2020
(770) 735-4352
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
08/23/2018
Last updated
05/26/2022
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