NPI age
3 years
Enumerated 2022-08-01
Across 2375 active optometrist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (LA) | 1959-905AT | STATE LICENSE |
| 01 (CT) | 3.003314 | STATE LICENSE |
| 01 (GA) | OPT003656 | STATE LICENSE |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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