Mike Berry's Opticians Inc.

NPI #1568505949 in Tucker, Georgia

Provider Information

NPI Number: 1568505949
Entity Type: Organization
Organization Name: Mike Berry's Opticians Inc.
Primary Specialty: Eyewear Supplier
Enumeration Date: Feb 15, 2007
Last Updated: Feb 12, 2008

Practice Location

Address: 1459 MONTREAL RD
Address 2: SUITE 100
City: Tucker
State: Georgia
ZIP Code: 30084-6900
Phone: (770) 621-9828

Authorized Official

Name: MR. MICHAEL DAVISON BERRY, LDO
Title: PRESIDENT
Phone: (770) 621-9828

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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