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Contact Information

JOSEPH OPTICAL
1455 RIVERSTONE PKWY SUITE 110
CANTON, GA30114
 Phone: 770-479-0500
 Fax: 770-720-0104
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for JOSEPH OPTICAL

NPI Number 1730510959
LBN Legal business name JOSEPH OPTICAL
Authorized official KEITH BACHMANN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/13/2013
Last updated 12/13/2013 - About 12 years ago
Identifiers
GA License # LDO001279
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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