Grace Envision LLC
NPI #1003566779 in Johns Creek, Georgia
Provider Information
- NPI Number
- 1003566779
- Entity Type
- Organization
- Organization Name
- Grace Envision LLC
- Primary Specialty
- Optometrist
- Enumeration Date
- Mar 25, 2022
- Last Updated
- Jul 6, 2023
Practice Location
- Address
- 10475 MEDLOCK BRIDGE RD STE 104
- City
- Johns Creek
- State
- Georgia
- ZIP Code
- 30097-4434
- Phone
- (404) 293-5990
Authorized Official
- Name
- HAIYING CHENG, O.D.
- Title
- OWNER
- Phone
- (404) 293-5990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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