Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALPHONSO D PORTER, LDO
Active Sole ProprietorALPHONSO D PORTER, LDO is a Optician, Dispensing healthcare provider located in EAST POINT, Georgia. NPI 1215109996 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · EAST POINT, GA
Registration Details
- NPI Number
- 1215109996
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 2, 2008 (18.350459046947 yrs)
- Last Updated
- Apr 2, 2008
- License
-
488 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3118-A WASHINGTON RDEAST POINT, GA, 30346Browse GA providers · Browse ZIP 30346
- Phone
- 4047673995
- Fax
- 4047673987
- Primary Specialty
-
Optician, Dispensing
156FX1800X
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.