NPI 1679240402
Maggie Mooo LLC
Practice location
- Address
- 9700 Medlock Bridge Rd STE 120b, Johns Creek, GA 30097-4408
- Phone
- (770) 558-1850
- Fax
- (678) 691-8056
Authorised official
- Name
- Brian Schultz
- Title
- Optometrist/Owner
- Phone
- (248) 320-8059
Registered specialties
Corneal and Contact Management Optometrist
Primary
Registry record
- NPI
- 1679240402
- Entity type
- Organization
- NPI issued
- 28 Aug 2021
- Record last updated
- 28 Nov 2021
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.