NPI 1316129463 · live from the CMS NPI Registry
Andrea J. Washington O.D. PC
Optometrist in Covington, GA. National Provider Identifier 1316129463, active.
NPI record
| NPI | 1316129463 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 4106 Mill St Ne Ste A, Covington, GA 30014 |
| Practice phone | 678-625-3937 |
| Mailing address | Po Box 1506, Covington, GA 30015 |
| Enumerated | November 30, 2007 |
| Last updated | October 11, 2019 |
| Authorized official | Andrea Washington, Owner/Optometrist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist, Vision Therapy | 152WV0400X | — |
| Optometrist primary | 152W00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.