NPI age
17 years
Enumerated 2008-11-05
Across 2375 active optometrist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (SC) | GPA977 | MEDICAID MD |
| 01 (SC) | DAG976 | MEDICAID OD |
Single-site organization. Only one practice location on file.
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