NPI age
10 years
Enumerated 2015-09-14
Across 2375 active optometrist providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003213877A | |
| 05 (GA) | 003213877B |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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