NPI 1124755723 · live from the CMS NPI Registry
Elton Angoni, OD, MS
Optometrist in Atlanta, GA. National Provider Identifier 1124755723, active.
NPI record
| NPI | 1124755723 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 800 Mount Vernon Hwy Ne Ste 130, Atlanta, GA 30328 |
| Practice phone | 404-256-1125 |
| Enumerated | August 3, 2022 |
| Last updated | August 3, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OPT003459 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.