NPI 1073505053

Eye Site of Buford, INC.

Organisation Eyewear Supplier Buford, GA

Practice location

Address: 4420 Nelson Brogdon Blvd, Buford, GA 30518-3477
Phone: (770) 932-9656
Fax: (770) 932-6606

Authorised official

Name: Raymond D Rupured
Title: C Fo
Phone: (770) 932-9656

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence GA1214 (GA)

Other Eyewear Supplier providers in Georgia →

Registry record

NPI: 1073505053
Entity type: Organization
NPI issued: 16 Aug 2005
Record last updated: 17 Jun 2008

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.