NPI age
20 years
Enumerated 2005-08-18
Across 2375 active optometrist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 793136480A | |
| 01 (GA) | 550882371 | BCBS |
| 01 (GA) | 550882371 | VSP |
| 01 (GA) | 24591 | SPECTERA |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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