Bolt Eye Group-Canton Llc

LBN: Bolt Eye Group-Canton Llc
Bolt Eye Group-Canton Llc is an health care organization with primary practice located at 2060 Cumming Hwy Ste 400 , Canton GA 30115-3793. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Bolt Eye Group-Canton Llc can be contacted via phone (770) 615-2007, or through Reimbold, Susan via phone (770) 776-9000.

Contact Information

Primary practice address
2060 Cumming Hwy Ste 400 Canton GA 30115-3793
Fax: (770) 615-6242
Website:
Authorized official contact:
Name: Reimbold, Susan Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1518693878
LBN Legal business name Bolt Eye Group-Canton Llc
DBA Doing business as
Authorized official Reimbold, Susan Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2022
Last updated Jul 18th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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