NPI age
20 years
Enumerated 2005-09-27
Across 2375 active optometrist providers in Georgia.
3 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (SC) | DPG717 | |
| 01 | 5132270001 | DMERC |
| 01 (GA) | 52540781004 | BCBS |
| 05 (SC) | DAG983 | |
| 01 (GA) | 5055266711 | TRICARE |
| 01 (GA) | GA0717 | EYEMED |
Multi-provider organization. 3 individual providers on file at this primary address.
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