Provider Demographics
NPI:1598023020
Name:SMJB INVESTMENTS LLC
Entity Type:Organization
Organization Name:SMJB INVESTMENTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:LINDSAY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:770-961-2998
Mailing Address - Street 1:1281 SOUTHLAKE CIR
Mailing Address - Street 2:
Mailing Address - City:MORROW
Mailing Address - State:GA
Mailing Address - Zip Code:30260-2352
Mailing Address - Country:US
Mailing Address - Phone:770-961-2998
Mailing Address - Fax:770-961-0110
Practice Address - Street 1:1281 SOUTHLAKE CIR
Practice Address - Street 2:
Practice Address - City:MORROW
Practice Address - State:GA
Practice Address - Zip Code:30260-2352
Practice Address - Country:US
Practice Address - Phone:770-961-2998
Practice Address - Fax:770-961-0110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-03
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1479152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty