NPI age
20 years
Enumerated 2005-06-13
Across 5 active optometrist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 483070 | AETNA |
| 01 (GA) | 410048938 | RR MEDICARE |
| 05 (GA) | 00415269A | |
| 01 (GA) | 538385 | BCBS OF GA |
Solo or small practice. No other active providers share this practice address in NPPES.
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