Parkside Optique, LLC
NPI #1164945796 in Woodstock, Georgia
Provider Information
- NPI Number
- 1164945796
- Entity Type
- Organization
- Organization Name
- Parkside Optique, LLC
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Jul 25, 2017
- Last Updated
- Jul 25, 2017
Practice Location
Authorized Official
- Name
- LISA STONEBRAKER, LDO
- Title
- OWNER/DISPENSING OPTICIAN
- Phone
- (770) 485-7459
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
| Technician/Technologist - Optician — Optician |
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