Bolt Eye Group - Riverdale, LLC

NPI #1588378632 in Riverdale, Georgia

Provider Information

NPI Number: 1588378632
Entity Type: Organization
Organization Name: Bolt Eye Group - Riverdale, LLC
Primary Specialty: Optometrist
Enumeration Date: Jan 12, 2023
Last Updated: Apr 5, 2023

Practice Location

Address: 131 UPPER RIVERDALE RD SW
City: Riverdale
State: Georgia
ZIP Code: 30274-2540
Phone: (770) 994-9913

Authorized Official

Name: SUSAN MARIE REIMBOLD, OD
Title: OWNER
Phone: (770) 776-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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