NPI age
18 years
Enumerated 2007-10-23
Across 2375 active optometrist providers in Georgia.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 0066145 | CIGNA |
| 01 (GA) | 024288 | BLUE CROSS BLUE SHIELD |
| 05 (GA) | 00004562B |
Multi-provider organization. 1 individual provider on file at this primary address.
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