NPI age
20 years
Enumerated 2006-04-10
Across 2375 active optometrist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00765047B | |
| 01 (GA) | DG7793 | RAILROAD MEDICARE GROUP # |
| 01 (GA) | 410049677 | RAILROAD MEDICARE PTAN |
| 01 (GA) | 41ZCFGF | MEDICARE PTAN |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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