NPI 1063758761 · live from the CMS NPI Registry
American Optical Services LLC
Optometrist in Canton, GA. National Provider Identifier 1063758761, active.
NPI record
| NPI | 1063758761 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 3760 Sixes Rd, Canton, GA 30114 |
| Practice phone | 770-345-3120 |
| Mailing address | 8076 W Sahara Ave, Las Vegas, NV 89117 |
| Enumerated | December 27, 2012 |
| Last updated | December 27, 2012 |
| Authorized official | Erica Perriera, Chief Operating Officer |
| Other names | The Eye Gallery-Canton |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | — (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.