B.spectacled-Suwanee

NPI #1720566557 in Suwanee, Georgia

Provider Information

NPI Number: 1720566557
Entity Type: Organization
Organization Name: B.spectacled-Suwanee
Primary Specialty: Optometrist
Enumeration Date: Aug 3, 2018
Last Updated: Jan 20, 2022

Practice Location

Address: 991 PEACHTREE INDUSTRIAL BLVD STE 114
City: Suwanee
State: Georgia
ZIP Code: 30024-4343
Phone: (770) 904-0883

Authorized Official

Name: JAMES DYKEMAN
Title: PRESIDENT
Phone: (404) 386-0295

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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