Organization
MODERN EYES OF GEORGIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID WILLIAM DUDOVITZ O.D. (CEO)
(770) 831-1010
Entity
Organization
Contact information
Practice address
3420 BUFORD DR, SUITE C560, BUFORD, GA 30519-4990
(770) 831-7200
(770) 831-0076
Mailing address
800 MOUNT VERNON HWY NE STE 120, ATLANTA, GA 30328-4293
(770) 804-1684
(770) 804-1679
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2009019277
GA
Other
Enumeration date
06/18/2009
Last updated
03/29/2010
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