Organization
BOLT EYE GROUP - JOHNSON CITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA WILLIAMS (BILLING SPECIALIST)
(770) 776-9000
Entity
Organization
Contact information
Practice address
1207 N ROAN ST, SUITE 200, JOHNSON CITY, TN 37601
(423) 928-1010
Mailing address
4180 OLD MILTON PARKWAY, ALPHARETTA, GA 30005
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/29/2022
Last updated
12/13/2022
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