NPI 1851606271 · live from the CMS NPI Registry
Kristy Lee Bain, O.D.
Optometrist in Decatur, GA. National Provider Identifier 1851606271, active.
NPI record
| NPI | 1851606271 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 104 Church St, Decatur, GA 30030 |
| Practice phone | 404-378-3694 |
| Mailing address | 1407 Ladson Ct, Decatur, GA 30033 |
| Enumerated | August 10, 2010 |
| Last updated | August 10, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OPT002605 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.