Southern Eye Excellence, LLC

NPI #1598860801 in Lithonia, Georgia

Provider Information

NPI Number: 1598860801
Entity Type: Organization
Organization Name: Southern Eye Excellence, LLC
Primary Specialty: Ophthalmology
Enumeration Date: Sep 13, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 5900 HILLANDALE DRIVE
Address 2: SUITE 345
City: Lithonia
State: Georgia
ZIP Code: 30058-6803
Phone: (770) 987-0733

Authorized Official

Name: DR. LAWRENCE F BRACK III, M.D.
Title: PHYSICIAN
Phone: (770) 987-0733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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