NPI age
19 years
Enumerated 2006-08-10
Across 2375 active optometrist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 535526348B | |
| 01 (GA) | 7298815 | AETNA |
| 01 (GA) | VGA001714 | AVESIS |
| 01 (GA) | 52144366-003 | BCBS |
| 05 (GA) | 101527 | |
| 01 (GA) | 202177960 | TAX ID |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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