Organization
MARIETTA VISION CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE GONCALVES OD (OWNER)
(770) 509-8480
Entity
Organization
Contact information
Practice address
1401 JOHNSON FERRY RD, STE 148 B, MARIETTA, GA 30062-6495
(770) 509-8480
(770) 509-0725
Mailing address
1401 JOHNSON FERRY RD, STE 148 B, MARIETTA, GA 30062-6495
(770) 509-8480
(770) 509-0725
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT001072
GA
Other
Enumeration date
02/18/2008
Last updated
02/18/2008
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