Victory Eyecare LLC

NPI #1164695045 in Dacula, Georgia

Provider Information

NPI Number: 1164695045
Entity Type: Organization
Organization Name: Victory Eyecare LLC
Primary Specialty: Optometrist
Enumeration Date: Apr 11, 2008
Last Updated: Apr 11, 2008

Practice Location

Address: 1342 AUBURN RD
City: Dacula
State: Georgia
ZIP Code: 30019-1140
Phone: (678) 482-1324

Authorized Official

Name: DR. KUNLE EMMANUEL OLUWADARE, M.S., O.D.
Title: MANAGING PARTNER
Phone: (678) 482-1324

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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