Organization
LOGANVILLE EYECARE, PC
Active
Other names
Lewis Frey, OD, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALVIN LEWIS FREY OD (PRESIDENT)
(770) 554-3456
Entity
Organization
Contact information
Practice address
4495 ATLANTA HWY, SUITE 300, LOGANVILLE, GA 30052-6736
(770) 554-3456
Mailing address
4495 ATLANTA HWY, SUITE 300, LOGANVILLE, GA 30052-6736
(770) 554-3456
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT001189
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00716185B
—
GA
Enumeration date
05/19/2012
Last updated
09/25/2018
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