Organization Name: | JOSEPH OPTICAL |
NPI Number: | 1730510959 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEITH BACHMANN (OWNER) |
Mailing Address: | 1455 Riverstone Pkwy Suite 110 Canton |
State: | GA US |
Postal Code: | 30114 |
Phone Number: | 7704790500 |
Fax Number: | 7707200104 |
NPI Enumeration Date: | 12/13/2013 |
NPI Last Update Date: | 12/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | LDO001279 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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. |