NPI age
19 years
Enumerated 2006-07-21
Across 2375 active optometrist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 11582 | OPTICARE |
| 01 | 582233896 | TRICARE |
| 01 (GA) | 967535 | BLUE CROSS |
| 05 (GA) | 00520726S | |
| 01 (GA) | 100623 | AVESIS |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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