Dr. Justin Abraham, OD
Optometrist in Atlanta, GA. Individual provider (NPI-1).
NPI number1386318137
StatusActive
Last updated in NPPESAug 5, 2021
Details
- NPI
- 1386318137
- Entity type
- Individual (NPI-1)
- Name
- Dr. Justin Abraham
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 5, 2021
- Certification date
- Jul 11, 2021
- Last updated
- Aug 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OPT003342 | GA | Yes |
Practice location
1100 Johnson Fy Rd Ne Ste 108Atlanta, GA 30342-1733
Phone 404-531-9988
Mailing address
3815 Timbers Edge LnGlenview, IL 60025-1480
Phone 847-418-6049
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