NPI age
19 years
Enumerated 2006-09-20
Across 2375 active optometrist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00879018B | |
| 05 (GA) | 00879018A |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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