NPI 1679953293 · live from the CMS NPI Registry
B3 Optical LLC
Optometrist in Stockbridge, GA. National Provider Identifier 1679953293, active.
NPI record
| NPI | 1679953293 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 550 Eales Landing Parkway, Suite 208, Stockbridge, GA 30281 |
| Practice phone | 770-474-1237 |
| Mailing address | 128 N Park Dr, Fayetteville, GA 30214 |
| Enumerated | June 9, 2015 |
| Last updated | June 9, 2015 |
| Authorized official | Laura Depoe, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.