11D2180386 CLIA NUMBER - OPTIWORLD VISION CENTER

Laboratory Demographics

CLIA Number: 11D2180386

Facility Name: OPTIWORLD VISION CENTER

Facility Address:
2851 CANDLER ROAD
DECATUR, GA
ZIP 30034
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Facility Phone Number: 770 265-6450

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1912188996

Taxonomy: 332H00000X - Eyewear Supplier
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

CLIA Record

Field Name	Field Value
CLIA Number	11D2180386
LAB Type	Physician Office
Facility Name	OPTIWORLD VISION CENTER
Street	2851 CANDLER ROAD
City	DECATUR
State	GA
ZIP	30034
Phone	770 265-6450
CertificateType	4
CertificateEffectiveDate	3/12/2024
CertificateExpirationDate	3/11/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024