Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PATRICK K ALFRED, ABOC
ActiveOptician, Dispensing · FAYETTEVILLE, GA
Registration Details
- NPI Number
- 1093086159
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 21, 2012 (14.247271349164 yrs)
- Last Updated
- Jan 21, 2012
- License
-
083494 (GA)
Practice Information
- Address
-
120 GEORGIA AVE EFAYETTEVILLE, GA, 302141616Browse GA providers · Browse ZIP 30214
- Phone
- 7707199500
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in FAYETTEVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| GINA D WISE | — | 1932416617 |
| CRYSTAL WADE | LDO | 1326483405 |
| MS. DALE A KLAUSS | LDO | 1477185205 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.