NPI age
20 years
Enumerated 2005-07-14
Across 2375 active optometrist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 52576494 | BLUE CROSS/BLUE SHIELD |
| 05 (GA) | 760646583A |
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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