NPI 1124232228 · live from the CMS NPI Registry
2020 Eye Care
Optometrist in Alpharetta, GA. National Provider Identifier 1124232228, active.
NPI record
| NPI | 1124232228 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 10945 State Bridge Rd, Suite 306, Alpharetta, GA 30022 |
| Practice phone | 678-339-0423 |
| Enumerated | May 9, 2007 |
| Last updated | August 22, 2020 |
| Authorized official | Samia Idris, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OPT001870 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.