NPI age
19 years
Enumerated 2006-09-26
Across 2375 active optometrist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (AL) | 600-16806 | BLUE CROSS |
| 05 (GA) | 00442527D | |
| 05 (AL) | 009961760 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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