NPI age
16 years
Enumerated 2010-04-16
Across 2375 active optometrist providers in Georgia.
6 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 466706497A | |
| 01 (GA) | OPT002083 | LICENSE |
Multi-provider organization. 6 individual providers on file at this primary address.
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