NPI age
19 years
Enumerated 2007-01-13
Across 2375 active optometrist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 350266687A | |
| 01 (GA) | 1811090921 | NATIONAL PROVIDER ID |
Single-site organization. Only one practice location on file.
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