NPI age
20 years
Enumerated 2005-10-03
Across 2375 active optometrist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 4016810001 | CMS - MEDICARE SUPPLIER # |
| 05 (GA) | 000357926-G |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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