NPI 1003566779

Grace Envision LLC

Organisation Optometrist Johns Creek, GA

Practice location

Address: 10475 Medlock Bridge Rd STE 104, Johns Creek, GA 30097-4434
Phone: (404) 293-5990
Mailing address: 1212 Rising Moon Trl, Snellville, GA 30078-7395

Authorised official

Name: Haiying Cheng
Title: Owner
Phone: (404) 293-5990

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X

Other Optometrist providers in Georgia →

Registry record

NPI: 1003566779
Entity type: Organization
NPI issued: 25 Mar 2022
Record last updated: 6 Jul 2023

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.