NPI age
19 years
Enumerated 2006-10-04
Across 2375 active optometrist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 810603069 | TRICARE |
| 05 (GA) | 436700096A | |
| 05 (SC) | D62077 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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