NPI 1932443470 · live from the CMS NPI Registry
Olakunle Adegbile
Optometrist in Morrow, GA. National Provider Identifier 1932443470, active.
NPI record
| NPI | 1932443470 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 1500 Southlake Mall, Morrow, GA 30260 |
| Practice phone | 770-961-1968 |
| Mailing address | 5741 Norman Ct, Atlanta, GA 30349 |
| Enumerated | November 21, 2012 |
| Last updated | September 12, 2018 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 0618002181 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.