NPI 1003208711

Optique Pcm

Organisation Optometrist Atlanta, GA

Practice location

Address: 650 North Ave NE Suite S103, Atlanta, GA 30308-2705
Phone: (404) 875-2766
Mailing address: 1244 W Paces Ferry Rd NW, Atlanta, GA 30327-2306

Authorised official

Name: Gavin Cohen
Title: Owner
Phone: (404) 405-8539

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1768 (GA)

Other Optometrist providers in Georgia →

Registry record

NPI: 1003208711
Entity type: Organization
NPI issued: 4 Mar 2015
Record last updated: 28 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.