Blue Ridge Vision, Inc.

NPI #1235724774 in Ellijay, Georgia

Provider Information

NPI Number: 1235724774
Entity Type: Organization
Organization Name: Blue Ridge Vision, Inc.
Primary Specialty: Optometrist
Enumeration Date: Mar 6, 2021
Last Updated: Mar 6, 2021

Practice Location

Address: 180 TOCCOA CT
City: Ellijay
State: Georgia
ZIP Code: 30540-0604
Phone: (770) 402-1175

Authorized Official

Name: MR. MICHAEL R DOUCETTE JR., LDO
Title: OWNER
Phone: (770) 402-1175

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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