REAGIN OPTOMETRIC GROUP, P.A.
Optometry at Church St, Decatur, GA

License number
Georgia 486
Category
Optometry
Type
Optometrist
Owner
Name: DR. WALLIS E. REAGIN OD
Title: PRESIDENT
Phone: (404) 378-3694
Address
Address
104 Church St, Decatur, GA 30030
National Provider ID: 1447391594
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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REAGIN OPTOMETRIC GROUP, PA

104 Church St, Decatur, GA 30030

Industry:
Optometrist's Office, Optometrist
Doing business as:
Reagin Optometric Group<br>Reagin Optometric Group - Richard S Reagin Od<br>Reagin Optometric Group - Thomas G Reagin Od
Registration:
Sep 28, 1973
Phone:
(404) 378-3694 (Phone), (404) 373-0741 (Fax)
State ID:
H307758
Business type:
Domestic Profit Corporation
Optometrists:
G. Thomas Reagin (CEO), 658 Haralson Dr, Lilburn, GA 30047 (Physical),S. Richard Reagin (CFO), 1707 Bristol Farms Ct, Grayson, GA 30017 (Physical),B Cynthia Reagin (Secretary), 1707 Bristol Farms Ct, Grayson, GA 30017 (Physical),...
Agent:
Winship E. Rees,656 Nightlark Ct, Suwanee, GA (Physical)
Categories:
Optical Goods Retail, Optometrists

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