| Organization Name: | BUCKHEAD OPTICS LLC |
| NPI Number: | 1437520863 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHERALI HAJIYANI (OWNER) |
| Mailing Address: | 3425 Lenox Rd Ne Atlanta |
| State: | GA US |
| Postal Code: | 303261308 |
| Phone Number: | 4042376210 |
| Fax Number: | |
| NPI Enumeration Date: | 10/12/2015 |
| NPI Last Update Date: | 10/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156F00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A broad category grouping different kinds of technologists and technicians. See individual definitions. |