NPI 1730510959

Joseph Optical

Organisation Eyewear Supplier Canton, GA

Practice location

Address: 1455 Riverstone Pkwy Suite 110, Canton, GA 30114
Phone: (770) 479-0500
Fax: (770) 720-0104

Authorised official

Name: Keith Bachmann
Title: Owner
Phone: (770) 479-0500

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence LDO001279 (GA)

Other Eyewear Supplier providers in Georgia →

Registry record

NPI: 1730510959
Entity type: Organization
NPI issued: 13 Dec 2013
Record last updated: 13 Dec 2013

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.