NPI 1881570174 · live from the CMS NPI Registry
Atlanta Eye Associates Group LLC
Optometrist in Atlanta, GA. National Provider Identifier 1881570174, active.
NPI record
| NPI | 1881570174 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 1841 Chamblee Tucker Rd Ste 1-4b, Atlanta, GA 30341 |
| Practice phone | 770-409-8977 |
| Enumerated | August 13, 2025 |
| Last updated | August 13, 2025 |
| Authorized official | Kim Raharja, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.