Organization Name: | COMPLETE FAMILY EYECARE AND OPTIQUE PC |
NPI Number: | 1033449046 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SCOTT BAYLARD (OWNER) |
Mailing Address: | 2320 Atlanta Hwy Suite 103 Cumming |
State: | GA US |
Postal Code: | 300406339 |
Phone Number: | 6789655552 |
Fax Number: | 6789655502 |
NPI Enumeration Date: | 01/14/2010 |
NPI Last Update Date: | 01/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |