Organization
BETHELVIEW EYECARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT F GIGLIOTTI O.D. (OWNER/OPTOMETRIST)
(678) 513-8686
Entity
Organization
Contact information
Practice address
5485 BETHELVIEW RD, SUITE 320, CUMMING, GA 30040-9735
(678) 513-8686
(678) 455-1944
Mailing address
5485 BETHELVIEW RD, SUITE 320, CUMMING, GA 30040-9735
(678) 513-8686
(678) 455-1944
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1644
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202G708166
PTAN
GA
Enumeration date
12/12/2007
Last updated
08/08/2013
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