NPI 1760614259 · live from the CMS NPI Registry
Atlanta Vision Optical
Optometrist in Atlanta, GA. National Provider Identifier 1760614259, active.
NPI record
| NPI | 1760614259 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 1215 Caroline St Ne, Suite H-100, Atlanta, GA 30307 |
| Practice phone | 404-522-8886 |
| Enumerated | August 17, 2009 |
| Last updated | January 27, 2010 |
| Authorized official | Ghazal Tabrizipour, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier (Equipment, not the service) | 332H00000X | — |
| Optometrist primary | 152W00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.