Whalio Doctors

NPI 1104430537

Happy Eyes LLC

Organisation Optometrist Canton, GA

Practice location

Address
112a Riverstone Pkwy, Canton, GA 30114-2448
Phone
(770) 874-2020
Mailing address
PO Box 4398, Canton, GA 30114-0017

Authorised official

Name
Rafael Gamba
Title
Owner
Phone
(770) 361-9481

Registered specialties (2)

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X
Pediatric Optometrist
Eye and Vision Services Providers Taxonomy 152WP0200X

Registry record

NPI
1104430537
Entity type
Organization
NPI issued
2 Sep 2020
Record last updated
19 Nov 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.