Dr J Heaven, PC

NPI #1780731950 in Doraville, Georgia

Provider Information

NPI Number: 1780731950
Entity Type: Organization
Organization Name: Dr J Heaven, PC
Primary Specialty: Optometrist
Enumeration Date: Jan 3, 2007
Last Updated: Jan 21, 2010

Practice Location

Address: 5653 BUFORD HWY NE
City: Doraville
State: Georgia
ZIP Code: 30340-1200
Phone: (770) 396-2969

Authorized Official

Name: JASON HEAVEN, O.D.
Title: PRESIDENT
Phone: (770) 396-2969

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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