NPI 1659596682

Family Eye Clinic

Organisation Preferred Provider Organization Woodstock, GA

Practice location

Address: 2230 Towne Lake Pkwy Building 700 Suite 100, Woodstock, GA 30189-5540
Phone: (770) 591-3511

Authorised official

Name: Vincent Michael Magliocco
Title: President Owner
Phone: (770) 591-3511

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence GA2071 (GA)

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Registry record

NPI: 1659596682
Entity type: Organization
NPI issued: 16 Apr 2007
Record last updated: 22 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.