NPI 1255773347 · live from the CMS NPI Registry
Atlanta Eye Associates
Optometrist in Norcross, GA. National Provider Identifier 1255773347, active.
NPI record
| NPI | 1255773347 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 5456 Jimmy Carter Blvd Ste 180, Norcross, GA 30093 |
| Practice phone | 404-355-2600 |
| Enumerated | July 18, 2013 |
| Last updated | July 18, 2013 |
| Authorized official | Kim Raharja, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OPT002319 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.