NPI age
19 years
Enumerated 2006-12-12
Across 2375 active optometrist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 52295473 | BLUE CROSS BLUE SHIELD GA |
| 05 (GA) | 00477815A |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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