Organization
GEORGIA VISION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE MAITAS ARENCIBIA OD (DOCTOR OWNER)
(706) 896-3303
Entity
Organization
Contact information
Practice address
1620 HIGHWAY 76 WEST, SUITE 3, HIAWASSEE, GA 30546
(706) 896-3303
(706) 896-9485
Mailing address
1620 HIGHWAY 76 WEST, SUITE 3, HIAWASSEE, GA 30546
(706) 896-3303
(706) 896-9485
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT001176
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000442043C
—
GA
Enumeration date
02/08/2006
Last updated
06/03/2008
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