Tara Fowler Optometric Corporation

NPI #1184851800 in Roswell, Georgia

Provider Information

NPI Number: 1184851800
Entity Type: Organization
Organization Name: Tara Fowler Optometric Corporation
Primary Specialty: Optometrist
Enumeration Date: Jun 20, 2009
Last Updated: Jan 13, 2020

Practice Location

Address: 930 MARIETTA HWY STE 400
City: Roswell
State: Georgia
ZIP Code: 30075-6754
Phone: (770) 998-3937

Authorized Official

Name: TARA LEIGH FOWLER, O.D.
Title: CEO
Phone: (404) 414-3238

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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