Organization
LENOX EYE ASSOC PC
Active
Other names
Optica Universal
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE ANN SORROW (OFFICE MANAGER)
(404) 320-9100
Entity
Organization
Contact information
Practice address
1418 DRESDEN DRIVE, SUITE 150, ATLANTA, GA 30309
(404) 842-1950
(404) 239-0298
Mailing address
2369 BUFORD HIGHWAY, SUITE 820, ATLANTA, GA 30329
(404) 320-9100
(404) 239-0298
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT001104
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
348726036B
—
GA
Enumeration date
07/04/2006
Last updated
12/17/2010
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