Organization
GWINNETT OPTICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY DENNIS MASUEEI (CEO)
(770) 448-6875
Entity
Organization
Contact information
Practice address
5635 PEACHTREE PARKWAY, SUITE 175, NORCROSS, GA 30092-6400
(770) 448-6875
(770) 449-3091
Mailing address
5635 PEACHTREE PARKWAY, SUITE 175, NORCROSS, GA 30092-6400
(770) 448-6875
(770) 449-3091
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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