NPI 1427159821 · live from the CMS NPI Registry
Phi Phi Bang, O.D.
Optometrist, Corneal and Contact Management in Smyrna, GA. National Provider Identifier 1427159821, active.
NPI record
| NPI | 1427159821 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist, Corneal and Contact Management 152WC0802X |
| Practice location | 1675 Cumberland Pkwy Se, Suite #103, Smyrna, GA 30080 |
| Practice phone | 770-438-0202 |
| Mailing address | 15933 Clayton Rd, Suite 201, Ballwin, MO 63011 |
| Enumerated | September 26, 2006 |
| Last updated | January 24, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist, Corneal and Contact Management primary | 152WC0802X | 2015 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.