NPI age
20 years
Enumerated 2006-01-16
Across 2375 active optometrist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | 41CZDLB | MEDICARE PTAN |
| 05 (GA) | 000345694H | |
| 05 (GA) | 00345694I |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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