NPI 1124366687 · live from the CMS NPI Registry
Joseph Bryan Ahlborn, O.D.
Optometrist in Fort Benning, GA. National Provider Identifier 1124366687, active.
NPI record
| NPI | 1124366687 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 6600 Van Aalst Blvd, Fort Benning, GA 31905 |
| Practice phone | 762-408-0455 |
| Enumerated | January 17, 2013 |
| Last updated | August 10, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 8052 (TX) |
| Optometrist, Corneal and Contact Management | 152WC0802X | 8052 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.