Organization
AUSTELL VISION CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT M BLUM O.D. (OWNER)
(678) 457-0843
Entity
Organization
Contact information
Practice address
1757 E WEST CONNECTOR, SUITE 400, AUSTELL, GA 30106-1251
(770) 941-2220
Mailing address
1757 E WEST CONNECTOR, SUITE 400, AUSTELL, GA 30106-1251
(770) 941-2220
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1072
GA
Other
Enumeration date
01/23/2009
Last updated
01/23/2009
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