NPI 1811390826

Superior Eyecare of Madison INC

Organisation Optometrist Griffin, GA

Practice location

Address: 1569 N Expressway, Griffin, GA 30223-1746
Phone: (770) 233-6860
Fax: (770) 233-6825
Mailing address: 125 Pavilion Pkwy, Fayetteville, GA 30214-4098

Authorised official

Name: Malique R Payne
Title: Owner/Optometrist
Phone: (256) 716-6955

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X

Other Optometrist providers in Georgia →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence R-227-TA-984 (AL)

Registry record

NPI: 1811390826
Entity type: Organization
NPI issued: 4 Oct 2014
Record last updated: 22 Dec 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.