NPI 1609317189 · live from the CMS NPI Registry
Ajodha Eyecare LLC
Optometrist in Woodstock, GA. National Provider Identifier 1609317189, active.
NPI record
| NPI | 1609317189 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 9464 Main St, Woodstock, GA 30188 |
| Practice phone | 678-402-0540 |
| Enumerated | March 16, 2017 |
| Last updated | March 16, 2017 |
| Authorized official | Niketha Ajodha, Optometrist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | opt002664 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.