Organization
TWO EYES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA WASHINGTON OD (OPTOMETRIST/OWNER)
(678) 212-3199
Entity
Organization
Contact information
Practice address
4200 SALEM ROAD, COVINGTON, GA 30016
(678) 212-3199
(866) 924-3530
Mailing address
PO BOX 1506, COVINGTON, GA 30015-1506
(678) 212-3199
(866) 924-3530
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT2341
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
586441122A
—
GA
Enumeration date
04/10/2012
Last updated
07/02/2012
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