Bolt Eye Group-Canton LLC

NPI #1518693878 in Canton, Georgia

Provider Information

NPI Number: 1518693878
Entity Type: Organization
Organization Name: Bolt Eye Group-Canton LLC
Primary Specialty: Optometrist
Enumeration Date: Jul 28, 2022
Last Updated: Jul 18, 2023

Practice Location

Address: 2060 CUMMING HWY STE 400
City: Canton
State: Georgia
ZIP Code: 30115-3793
Phone: (770) 615-2007

Authorized Official

Name: SUSAN REIMBOLD, O.D.
Title: OPTOMETRIST
Phone: (770) 776-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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