Organization
BLUEGRASS EYEWEAR DBA PEACHY EYEWEAR
Active
Parent organization
BLUEGRASS EYEWEAR
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLUEGRASS EYEWEAR
Authorized official
MRS. KATHLEEN K HOOVER (CEO/OWNER)
(404) 663-9317
Entity
Organization
Contact information
Practice address
1525 BLUEGRASS LAKES PKWY, ALPHARETTA, GA 30004-7713
(800) 220-6896
Mailing address
1525 BLUEGRASS LAKES PKWY, ALPHARETTA, GA 30004-7713
(404) 663-9317
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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