Organization
MARIETTA EYE OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE SWANSON (DIRECTOR OF OPTICAL)
(678) 784-0242
Entity
Organization
Contact information
Practice address
2520 WINDY HILL RD SE, SUITE 206, MARIETTA, GA 30067-8664
(770) 952-6851
Mailing address
895 CANTON RD NE, BUILDING 100, MARIETTA, GA 30060-8934
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/18/2006
Last updated
04/03/2018
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