Organization · NPI-2

Ga Doctors Of Optometry LLC

Optometrist · Lithonia, GA

NPI number1174105936
StatusActive
Last updated in NPPESFeb 26, 2026

Details

NPI
1174105936
Entity type
Organization (NPI-2)
Legal business name
Ga Doctors Of Optometry LLC
Organization subpart
No
Enumeration date
Apr 22, 2021
Certification date
Feb 26, 2026
Last updated
Feb 26, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist––Yes

Practice location

2929 Turner Hill Rd Ste 2625
Lithonia, GA 30038-7047

Phone 770-482-5050 · Fax 770-482-5706

Mailing address

19100 Ridgewood Pkwy
San Antonio, TX 78259-1834

Phone 726-444-4078 · Fax 210-524-6587

Authorized official

Dolsie Mcdonald
Manager Of Network Management
7264444078

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