NPI 1912145301 · live from the CMS NPI Registry
Austell Vision Center, INC.
Optometrist in Austell, GA. National Provider Identifier 1912145301, active.
NPI record
| NPI | 1912145301 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 1757 E West Connector, Suite 400, Austell, GA 30106 |
| Practice phone | 770-941-2220 |
| Enumerated | January 23, 2009 |
| Last updated | January 23, 2009 |
| Authorized official | Robert Blum, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 1072 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.