NPI 1487938866 · live from the CMS NPI Registry
Mastoureh Ahmadpour, O.D.
Optometrist, Corneal and Contact Management in Douglasville, GA. National Provider Identifier 1487938866, active.
NPI record
| NPI | 1487938866 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist, Corneal and Contact Management 152WC0802X |
| Practice location | 1550 Arbor Place Mall, Douglasville, GA 30135 |
| Practice phone | 404-931-3304 |
| Enumerated | October 4, 2011 |
| Last updated | October 4, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist, Corneal and Contact Management primary | 152WC0802X | OPT002671 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.