Modern Eyes of Georgia, LLC

NPI #1982831756 in Buford, Georgia

Provider Information

NPI Number: 1982831756
Entity Type: Organization
Organization Name: Modern Eyes of Georgia, LLC
Primary Specialty: Optometrist
Enumeration Date: Jun 18, 2009
Last Updated: Mar 29, 2010

Practice Location

Address: 3420 BUFORD DR
Address 2: SUITE C560
City: Buford
State: Georgia
ZIP Code: 30519-4990
Phone: (770) 831-7200

Authorized Official

Name: DR. DAVID WILLIAM DUDOVITZ, O.D.
Title: CEO
Phone: (770) 831-1010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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